TWI523867B - Anti-c-met antibody and methods of use thereof - Google Patents

Anti-c-met antibody and methods of use thereof Download PDF

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TWI523867B
TWI523867B TW100131790A TW100131790A TWI523867B TW I523867 B TWI523867 B TW I523867B TW 100131790 A TW100131790 A TW 100131790A TW 100131790 A TW100131790 A TW 100131790A TW I523867 B TWI523867 B TW I523867B
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cancer
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吳漢忠
呂瑞旻
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中央研究院
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Description

抗C-MET抗體及其使用方法Anti-C-MET antibody and method of use thereof

本發明係關於可結合至c-Met之抗體,以及相關組合物,及其使用方法。The present invention relates to antibodies that bind to c-Met, as well as related compositions, and methods of use thereof.

於美國,肺癌為造成男性及女性死於癌症的首要原因。於2009年,於美國估計約有219,000新的肺癌案例被診斷出,且約有160,000死亡案例是由該疾病所導致。已知有兩種肺癌,小細胞肺癌(small cell lung cancer,SCLC)及非小細胞肺癌(non-small cell lung cancer,NSCLC),後者造成了近乎80%之肺癌。患有NSCLC之病患的五年存活率約為16%。雖然化學療法、外科切除手術及放射療法之搭配療法已用於治療不同階段之NSCLC,預後仍然不理想且於初步治療後之復發,可能高達10%。In the United States, lung cancer is the leading cause of death in men and women from cancer. In 2009, an estimated 219,000 new cases of lung cancer were diagnosed in the United States, and approximately 160,000 deaths were caused by the disease. Two types of lung cancer, small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC), which cause nearly 80% of lung cancer, are known. The five-year survival rate for patients with NSCLC is approximately 16%. Although chemotherapy, surgical resection, and radiation therapy have been used to treat different stages of NSCLC, the prognosis is still unsatisfactory and may recur after initial treatment, which may be as high as 10%.

c-Met為肝細胞生長因子的受體,屬於受體酪胺酸激酶(receptor tyrosine kinases,RTKs)之亞族。於一般生理狀況,該HGF/c-Met路徑參與許多不同之生物功能,包括細胞增生、存活、活動及療傷(Birchmeier et al.,2003)。然而,於血液性癌症及多數實體腫瘤之臨床案例,可發現有異常的c-Met活化,包括基因擴增、突變及過量表現。c-Met活化被報導會引發癌細胞增生、移動及侵入、以及由於HGF直接刺激內皮細胞增生及移動,導致促進腫瘤血管新生。c-Met is a receptor for hepatocyte growth factor and belongs to the subfamily of receptor tyrosine kinases (RTKs). In general physiological conditions, the HGF/c-Met pathway is involved in many different biological functions, including cell proliferation, survival, activity, and healing (Birchmeier et al., 2003). However, in clinical cases of hematological cancers and most solid tumors, abnormal c-Met activation, including gene amplification, mutation and overexpression, can be found. c-Met activation has been reported to cause cancer cell proliferation, migration and invasion, and to promote tumor angiogenesis due to HGF directly stimulating endothelial cell proliferation and migration.

此外,於患有腦癌、大腸癌、胃癌、肺癌、頭頸癌及胃癌之病患中,常可觀察到過量表現的c-Met。不好的臨床結果明顯地伴隨著升高的c-Met,故,於該等癌症類型中,可推測過量表現的c-Met為癌症進展之負預後指標。In addition, in patients with brain cancer, colorectal cancer, stomach cancer, lung cancer, head and neck cancer, and gastric cancer, excessive expression of c-Met is often observed. Poor clinical outcomes are clearly associated with elevated c-Met, so in these cancer types, it is speculated that overexpression of c-Met is a negative prognostic indicator of cancer progression.

本文揭露可結合至c-Met之抗體,以及相關的組合物、及其使用方法。使用方法包括,但不限於癌症治療及診斷。於部分具體實施例中,本發明之抗體可結合至哺乳動物細胞表面抗原(如:癌細胞表面抗原)。該抗體亦可被胞飲以與細胞結合。可被該抗體所標靶之細胞包括癌細胞,如該等於肺臟、腎臟、肝臟、胃、乳房、及腦的癌細胞等。Antibodies that bind to c-Met, as well as related compositions, and methods of use thereof, are disclosed herein. Methods of use include, but are not limited to, cancer treatment and diagnosis. In some embodiments, an antibody of the invention binds to a mammalian cell surface antigen (eg, a cancer cell surface antigen). The antibody can also be pinched to bind to cells. The cells that can be targeted by the antibody include cancer cells, such as cancer cells equal to lungs, kidneys, liver, stomach, breasts, and brain.

具體而言,本發明之抗體可特定地與c-Met的抗原決定基結合。該抗原決定基可藉由其位於SEMA區域及PSI區域間之位置、或位於c-Met的類IgG區域內,以界定之。更具體而言,該抗原決定基包含SEQ ID NO: 51(c-Met之殘基位置25~567)、或SEQ ID NO: 52(c-Met之殘基位置567~932)之胺基酸序列。上面所使用之c-Met殘基位置數字,係對應於GenBank登錄號NP_000236.2(SEQ ID NO: 53)、或UniProt登錄號No. P08581所載之序列。In particular, the antibodies of the invention may specifically bind to the epitope of c-Met. The epitope can be defined by its location between the SEMA region and the PSI region, or within the IgG-like region of c-Met. More specifically, the epitope comprises an amino acid of SEQ ID NO: 51 (residue position 25-567 of c-Met) or SEQ ID NO: 52 (residue position 567-932 of c-Met) sequence. The c-Met residue position number used above corresponds to the sequence contained in GenBank Accession No. NP_000236.2 (SEQ ID NO: 53) or UniProt Accession No. P08581.

於部分具體實施例中,本發明之抗體可為:In some embodiments, the antibodies of the invention can be:

(a) 一種抗體或其抗原結合片段,包含重鏈可變區(VH),該重鏈可變區包含互補決定區(CDR)1、CDR2、及CDR3序列,該等互補決定區序列分別包含SEQ ID NOS: 10、12及22之胺基酸序列;(a) an antibody or antigen-binding fragment thereof comprising a heavy chain variable region ( VH ) comprising a complementarity determining region (CDR) 1, CDR2, and a CDR3 sequence, respectively An amino acid sequence comprising SEQ ID NOS: 10, 12 and 22;

(b) 一種抗體或其抗原結合片段,包含輕鏈可變區(VL),該輕鏈可變區包含互補CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS: 31、33及43之胺基酸序列;(b) an antibody or antigen-binding fragment thereof, comprising a light chain variable region (V L), which is complementary to the light chain variable region comprising CDR1, CDR2, and CDR3 sequences, respectively, comprising SEQ ID NOS: 31,33 and 43 Amino acid sequence;

(c) 一種抗體或其抗原結合片段,包含重鏈可變區(VH),該重鏈可變區包含CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS: 10、12及22之胺基酸序列,以及輕鏈可變區(VL),該輕鏈可變區包含互補CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS: 31、33及43之胺基酸序列;(c) an antibody or antigen-binding fragment thereof comprising a heavy chain variable region ( VH ) comprising CDR1, CDR2, and CDR3 sequences comprising SEQ ID NOS: 10, 12, and 22, respectively the amino acid sequence, and a light chain variable region (V L), which is complementary to the light chain variable region comprising CDR1, CDR2, and CDR3 sequences, respectively, comprising SEQ ID NOS: 31, 33 and 43 of the amino acid sequence;

(d) 一種抗體或其抗原結合片段,包含重鏈可變區(VH),該重鏈可變區包含CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS: 14、16及25之胺基酸序列;(d) an antibody or antigen-binding fragment thereof comprising a heavy chain variable region ( VH ) comprising CDR1, CDR2, and CDR3 sequences comprising SEQ ID NOS: 14, 16 and 25, respectively Amino acid sequence;

(e) 一種抗體或其抗原結合片段,包含輕鏈可變區(VL),該輕鏈可變區包含互補CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS: 35、37及46之胺基酸序列;(e) an antibody or antigen-binding fragment thereof, comprising a light chain variable region (V L), which is complementary to the light chain variable region comprising CDR1, CDR2, and CDR3 sequences, respectively, comprising SEQ ID NOS: 35,37 and 46 Amino acid sequence;

(f) 一種抗體或其抗原結合片段,包含重鏈可變區(VH),該重鏈可變區包含CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS: 14、16及25之胺基酸序列,以及輕鏈可變區(VL),該輕鏈可變區包含互補CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS: 35、37及46之胺基酸序列;(f) an antibody or antigen-binding fragment thereof comprising a heavy chain variable region ( VH ) comprising CDR1, CDR2, and CDR3 sequences comprising SEQ ID NOS: 14, 16 and 25, respectively the amino acid sequence, and a light chain variable region (V L), which is complementary to the light chain variable region comprising CDR1, CDR2, and CDR3 sequences, respectively, comprising SEQ ID NOS: 35, 37 and 46 of the amino acid sequence;

(g) 一種抗體或其抗原結合片段,包含重鏈可變區(VH),該重鏈可變區包含CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS: 18、20及28之胺基酸序列;(g) an antibody or antigen-binding fragment thereof comprising a heavy chain variable region ( VH ) comprising CDR1, CDR2, and CDR3 sequences comprising SEQ ID NOS: 18, 20, and 28, respectively Amino acid sequence;

(h) 一種抗體或其抗原結合片段,包含輕鏈可變區(VL),該輕鏈可變區包含互補CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS: 39、41及49之胺基酸序列;或(h) an antibody or antigen-binding fragment thereof, comprising a light chain variable region (V L), which is complementary to the light chain variable region comprising CDR1, CDR2, and CDR3 sequences, respectively, comprising SEQ ID NOS: 39,41 and 49 Amino acid sequence; or

(i) 一種抗體或其抗原結合片段,包含重鏈可變區(VH),該重鏈可變區包含CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS: 18、20及28之胺基酸序列,以及輕鏈可變區(VL),該輕鏈可變區包含互補CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS: 39、41及49之胺基酸序列。(i) an antibody or antigen-binding fragment thereof comprising a heavy chain variable region ( VH ) comprising CDR1, CDR2, and CDR3 sequences comprising SEQ ID NOS: 18, 20, and 28, respectively the amino acid sequence, and a light chain variable region (V L), which is complementary to the light chain variable region comprising CDR1, CDR2, and CDR3 sequences, respectively, comprising SEQ ID NOS: 39, 41 and 49 of the amino acid sequence.

定義definition

於以下之說明中,有許多之術語於細胞培養領域係為習用且廣泛所用之術語。為了使讀者能清楚且一致性地明瞭本說明書及申請專利範圍,因此,於下提供該等術語之範圍及定義。In the following description, there are many terms that are conventional and widely used in the field of cell culture. To the extent that the specification and claims are made clear and consistent, the scope and definition of such terms are provided below.

於本文所用之「c-Met」係指一群受體酪胺酸激酶,其可結合至肝細胞生長因子(HGF),且亦被稱為「肝細胞生長因子受體」(hepatocyte growth factor receptor,HGFR)或「met原致癌基因」。該「c-Met」乙詞係指任何自然存在之c-Met蛋白的同型物。該c-Met之胺基酸序列為已知的,且可於GenBank登錄號NP_000236.2及NP_001120972.1找到。As used herein, "c-Met" refers to a group of receptor tyrosine kinases that bind to hepatocyte growth factor (HGF) and is also known as hepatocyte growth factor receptor (hepatocyte growth factor receptor). HGFR) or "met proto-oncogene". The word "c-Met" refers to any isoform of the naturally occurring c-Met protein. The amino acid sequence of c-Met is known and can be found in GenBank Accession Nos. NP_000236.2 and NP_001120972.1.

術語「多胜肽」、「胜肽」、或「蛋白」於此可互換地使用,係指一線性序列之胺基酸殘基,彼此間互相藉由於α胺基及羧基之相鄰殘基間之胜肽鍵結合。此外,該胺基酸除了包括20個「標準的」基因編碼的胺基酸外,亦包括胺基酸相似物。The terms "polypeptide", "peptide", or "protein" are used interchangeably herein to refer to a linear sequence of amino acid residues which are mutually dependent on each other by the alpha amine group and the adjacent residue of the carboxyl group. The peptide bond between the peptides. In addition, the amino acid includes an amino acid analog in addition to the amino acid encoded by 20 "standard" genes.

「抗體」包含組合物,其包含一個抗原結合蛋白,或做為一製備物包含複數個抗原結合蛋白,其具有一個或多個多胜肽,該等多胜肽可為免疫球蛋白基因所基因編碼的,或免疫球蛋白基因的片段、或其包含自噬菌體表現庫所取得或衍生之CDRs,且該CDRs會與所欲之抗原結合。輕鏈分為κ(kappa)或λ(lambda)。重鏈可分為γ(gamma)、μ(mu)、α(alpha)、δ(delta)、或ε(epsilon),其可依序分別用以定義免疫球蛋白之種類IgG、IgM、IgA、IgD及IgE。An "antibody" comprises a composition comprising an antigen binding protein, or as a preparation comprising a plurality of antigen binding proteins having one or more multi-peptides, which may be genes of immunoglobulin genes A fragment of the encoded, or immunoglobulin gene, or a CDR thereof obtained or derived from a library of phage expression, and which binds to the desired antigen. Light chains are classified as κ (kappa) or λ (lambda). Heavy chains can be divided into gamma (gamma), μ (mu), alpha (alpha), δ (delta), or ε (epsilon), which can be used to define the types of immunoglobulins, IgG, IgM, IgA, IgD and IgE.

抗體之一範例為具有一個四聚物之結構單元,該結構單元係由兩對多胜肽鏈所組成,每一對具有一個「輕」及一個「重」鏈。每一個鏈之N端部分為一個可變區,該可變區可調控抗原之結合。術語「可變的輕鏈(variable light chain,VL)」及「可變的重鏈(variable heavy chain,VH)」係分別指輕鏈及重鏈。One example of an antibody is a structural unit having a tetramer consisting of two pairs of multi-peptide chains, each pair having a "light" and a "heavy" chain. The N-terminal portion of each chain is a variable region that regulates antigen binding. The terms "variable light chain (V L )" and "variable heavy chain (V H )" refer to both light and heavy chains, respectively.

「抗體」亦包含單鏈抗體,其包含一重鏈及一輕鏈,該重鏈與輕鏈互相連結以形成單一的多胜肽。An "antibody" also encompasses a single chain antibody comprising a heavy chain and a light chain that are joined to each other to form a single multi-peptide.

如上所記載,「抗體」包含完整的(intact)免疫球蛋白,或可為抗體之抗原結合片段。因此,此處所使用的「抗體」乙詞亦包括一個抗體之抗原結合部分,其可藉由修改全抗體以製得、或使用重組DNA方法以重新合成(synthesized de novo)。範例包括,但不限於Fab’、Fab'2、或scFv。As described above, the "antibody" comprises an intact immunoglobulin or may be an antigen-binding fragment of an antibody. Thus, the term "antibody" as used herein also includes an antigen binding portion of an antibody which can be made by modifying the whole antibody or by using recombinant DNA methods to synthesize de novo . Examples include, but are not limited to, Fab', Fab' 2 , or scFv.

一個單鏈Fv(「scFv」)多胜肽為VH::VL共價連結的異二聚體,其可自核酸表現,該核酸包括VH-及VL-編碼序列,該編碼序列可直接連接或藉由一胜肽編碼連結子所連接。有許多可用的結構可供輕及重多胜肽鏈,從抗體V區,轉化為scFv分子,該分子將折疊為三維結構,此結構本質上與抗原結合位置之結構相似。除可作為雙體(diabody)外,該scFvs亦可做為三體(tribody)或四體(tetrabody)。A single chain Fv ( "scFv") is a multi-peptide V H :: V L heterodimer covalently coupled to, the performance of which may be from a nucleic acid, the nucleic acid comprising a V H - and V L - encoding sequences, the coding sequence It can be directly linked or linked by a peptide-encoding linker. There are many structures available for light and heavy multi-peptide chains, from the antibody V region, to the scFv molecule, which will fold into a three-dimensional structure that is essentially similar in structure to the antigen binding site. In addition to being a diabody, the scFvs can also be used as a tribody or a tetrabody.

吾人需知的是當不同抗體片段以完整的抗體之裂解消化來定義時,該領域具有通常技藝者可瞭解的是,該等片段可藉由化學地或重組DNA方法以重新合成。It is to be understood that when different antibody fragments are defined by cleavage digestion of intact antibodies, it will be apparent to those of ordinary skill in the art that such fragments can be resynthesized by chemical or recombinant DNA methods.

「抗體」乙詞包含多株抗體及單株抗體,以及進一步包含任何類型之抗體(如:IgM、IgG及其亞型)。「抗體」亦包含雜合抗體(hybrid antibody)、異種抗體(heteroantibody)、嵌合抗體(chimeric antibody)、人源化抗體(humanized antibody)及其功能片段,該功能片段仍保有抗原結合能力。該抗體可與其他分子體結合,及/或可結合至一支撐體(如:固態支撐體),像是聚苯乙烯盤或珠、試驗條等等。The term "antibody" includes a plurality of antibodies and monoclonal antibodies, and further comprises any type of antibody (eg, IgM, IgG, and subtypes thereof). "Antibody" also includes a hybrid antibody, a heteroantibody, a chimeric antibody, a humanized antibody, and functional fragments thereof, which retain antigen binding ability. The antibody may bind to other molecular bodies and/or may be bound to a support (eg, a solid support) such as a polystyrene disk or bead, a test strip, and the like.

一個免疫球蛋白輕鏈可變區或重鏈可變區係由一「架構」區(framework region,FR)所組成,該架構區被三個高變區所區隔,該高變區亦稱作「互補決定區」或「CDRs」。該架構區及CDRs之長度可由習知之資料庫中定義。例如請參閱,V Base at www.vbase2.org。不同輕鏈或重鏈之架構區的序列,相對地保存於物種中。抗體之架構區,即為組成輕鏈及重鏈結合的架構區,可用於將CDRs定位及對準。該CDRs主要負責用以與抗原之抗原決定基結合。除非另有所指,所有本發明所提供之CDRs及架構區,係根據V Base所定義者。An immunoglobulin light chain variable region or heavy chain variable region is composed of a framework region (FR), which is distinguished by three hypervariable regions, also known as hypervariable regions. As a "complementary decision area" or "CDRs". The length of the architectural region and CDRs can be defined by a known database. See, for example, V Base at www.vbase2.org. Sequences of the framework regions of different light or heavy chains are relatively preserved in the species. The framework region of the antibody, which is the framework region that constitutes the combination of the light and heavy chains, can be used to position and align the CDRs. The CDRs are primarily responsible for binding to the epitope of the antigen. Unless otherwise indicated, all CDRs and architectural regions provided by the present invention are as defined by V Base.

「抗c-Met抗體」係指一抗體,其可特定地與c-Met結合,且較佳地與c-Met具有高親和力。一個c-Met特定的抗體不會與其他與c-Met無關之抗原結合,而僅與c-Met結合有關。"Anti-c-Met antibody" refers to an antibody that specifically binds to c-Met and preferably has a high affinity to c-Met. A c-Met-specific antibody does not bind to other c-Met-independent antigens, but only to c-Met binding.

當使用「高親和力」乙詞於抗體時,係指抗體可特定地結合(辨識)至其標的,其具有低於或等於10-6 M、低於10-7 M、低於10-8 M之親和值(KD)。一個較低之KD值係指具有較高的結合親和力(如:較強的結合能力),因此,相較10-6的KD值,10-7的KD值具有較高的結合親和力。When the term "high affinity" is used in the context of an antibody, it is meant that the antibody specifically binds (identifies) to its target having less than or equal to 10 -6 M, less than 10 -7 M, less than 10 -8 M. Affinity value (K D ). A lower K D value means higher binding affinity (eg, stronger binding capacity), therefore, a higher binding affinity of 10 -7 K D values than a 10 -6 K D value .

「抗原結合位置」或「結合部分」係指抗體分子的一部份(如:免疫球蛋白分子或scFv之片段),其參與免疫反應的抗原結合。該抗原結合位置係由重(H)鏈及/或輕(L)鏈之N端可變區(V)之胺基酸殘基所形成。於重鏈及輕鏈之V區內的三個高度分歧的支段係為「高變區」,該高變區被插置在更為保守的側接支段之間,該保守的測接支段亦稱為「架構區」或「FRs」。因此,「FR」乙詞係指自然存在介於及鄰近免疫球蛋白之高變區之間的胺基酸序列。於一個四聚體抗體分子,該輕鏈之三個高變區與重鏈之三個高變區,係於三維空間中,互相相對配置,以形成抗原結合「表面」。該表面調控目標抗原之辨識及結合。每一個重鏈及/或輕鏈之三個高變區,係為「互補決定區」或「CDRs」。"Antigen binding site" or "binding moiety" refers to a portion of an antibody molecule (eg, an immunoglobulin molecule or a fragment of an scFv) that is involved in antigen binding by an immune response. The antigen binding site is formed by an amino acid residue of the N-terminal variable region (V) of the heavy (H) chain and/or the light (L) chain. The three highly divergent branches in the V zone of the heavy and light chains are "hypervariable zones" which are interposed between the more conservative lateral branches, the conservative measurement Branches are also known as "architectural areas" or "FRs". Therefore, the term "FR" refers to an amino acid sequence naturally present between and adjacent to the hypervariable region of an immunoglobulin. In a tetrameric antibody molecule, the three hypervariable regions of the light chain and the three hypervariable regions of the heavy chain are arranged in three dimensions and arranged opposite each other to form an antigen-binding "surface". The surface regulates the recognition and binding of the target antigen. The three hypervariable regions of each heavy chain and/or light chain are "complementarity determining regions" or "CDRs".

「抗原決定基」為一個抗原上的部位(例如在c-Met Sema或PSI結構域上的部位),可供抗體結合。抗原決定基可由連續的胺基酸或不連續的胺基酸所形成,且可藉由蛋白折疊(如:三級折疊)並列。An "antigenic determinant" is a site on an antigen (eg, a site on the c-Met Sema or PSI domain) that is available for antibody binding. The epitope can be formed by a continuous amino acid or a discontinuous amino acid and can be juxtaposed by protein folding (eg, tertiary folding).

「S21抗體」或「自選殖株21取得之抗體」係指一抗體藉由選殖株S21、或選殖株21所表現、或係由其他方式所合成之抗體,但仍與選殖株S21所表現之抗體具有相同之CDRs,且可選擇地,具有相同的架構區。相似地,抗體S1(選殖株1)及S20(選殖株20),及其類似物,皆指該抗體係由相對應之選殖株所表現,及/或以其他方式合成抗體,但仍與相對應之抗體具有相同之CDRs,且可選擇地,具有相同的架構區。該等抗體之CDRs請參閱下表1所示者。"S21 antibody" or "antibody obtained from self-selected strain 21" refers to an antibody which is expressed by a strain S21 or a strain 21 or is synthesized by other means, but is still associated with the selected strain S21. The antibodies expressed have the same CDRs and, optionally, the same framework regions. Similarly, antibodies S1 (selection strain 1) and S20 (selection strain 20), and analogs thereof, mean that the resistance system is expressed by a corresponding selection strain, and/or otherwise synthesizes antibodies, but It still has the same CDRs as the corresponding antibody and, optionally, has the same framework region. See CDRs for these antibodies as shown in Table 1 below.

此處所使用之可互換地術語「對象」、「個體」及「病患」,係指被評估用於治療,及/或被治療的哺乳動物。於一具體實施例中,該哺乳動物為人類。該術語「對象」、「個體」及「病患」包含具有癌症之個體(如:肺癌、卵巢或攝護腺之腺癌、乳癌等)。對象可為人類,但亦包括其他哺乳動物,尤其是可供研究人類疾病之實驗室模式之哺乳動物,如小鼠、大鼠等。As used herein, the terms "subject," "individual," and "patient" are used interchangeably to refer to a mammal that is evaluated for treatment and/or treatment. In a specific embodiment, the mammal is a human. The terms "subject", "individual" and "patient" include individuals with cancer (eg, adenocarcinoma of lung cancer, ovary or prostate, breast cancer, etc.). The subject can be human, but also includes other mammals, especially mammals that can be used in laboratory models for studying human diseases, such as mice, rats, and the like.

在此處所使用之術語「治療(treatment)」、「治療(treating)」及其類似物,係指投予藥劑、或施行手術流程(如:放射線、外科手術等),目的在於獲得功效。該功效可能為預防性地,如完全地或部分地預防疾病或其症狀,及/或可為治療性地,如部分地或完全地治癒疾病、及/或該疾病之症狀。於此所用之「治療」,包含於哺乳動物治療任何增生性生長,該哺乳動物特別係指人類,且包括:(a)預防個體免於罹患疾病或疾病之症狀,該個體可能易罹患該疾病但尚未被診斷出已罹患(如:包括與原發性疾病相關之疾病、或由原發性疾病所引起之疾病);(b)抑制該疾病,如停止該疾病之發展;(c)緩解疾病,如:使得疾病狀況好轉。於腫瘤(如:癌症)治療,治療劑可直接減少腫瘤細胞的轉移。The terms "treatment", "treating" and the like, as used herein, refer to administration of a medicament, or a surgical procedure (eg, radiation, surgery, etc.) for the purpose of achieving efficacy. The efficacy may be prophylactic, such as completely or partially preventing the disease or its symptoms, and/or may be therapeutically, such as partially or completely curing the disease, and/or the symptoms of the disease. As used herein, "treatment" encompasses the treatment of any proliferative growth in a mammal, particularly a human, and includes: (a) preventing the individual from being afflicted with the symptoms of the disease or condition, the individual may be susceptible to the disease However, it has not been diagnosed as having (eg, including a disease associated with a primary disease or a disease caused by a primary disease); (b) inhibiting the disease, such as stopping the development of the disease; (c) mitigating Diseases, such as: make the disease condition better. In the treatment of tumors (eg, cancer), therapeutic agents can directly reduce the metastasis of tumor cells.

術語「細胞培養」或「培養」係指於一人工或體外環境去維持細胞生長。雖然該術語「細胞培養」為一通用的術語,但吾人亦可理解的是該術語所包含之培養,並非僅指個別細胞,亦可包含組織或器官。The term "cell culture" or "culture" refers to maintaining cell growth in an artificial or in vitro environment. Although the term "cell culture" is a generic term, it is also understood that the term encompasses cultures, not just individual cells, but also tissues or organs.

在此所處使用到之「腫瘤」乙詞,係指所有腫瘤細胞生長及增生,無論其為惡性或良性,以及包含所有癌前期、及癌細胞及組織。The term "tumor" as used herein refers to the growth and proliferation of all tumor cells, whether malignant or benign, and includes all precancerous, cancerous cells and tissues.

在此所使用之可互換地術語「癌症」、「腫瘤(neoplasm)」及「腫瘤(tumor)」,係指存在自發性、不受控的生長之細胞;該等細胞存在著脫離常軌之生長型態,其特徵在於其整體細胞增生很明顯地失控。大抵上,本發明所欲進行偵測、分析、分級、或治療之細胞,包括癌前期(如:良性)、惡性、前-轉移性、轉移性、及非轉移性細胞。癌症之實例包括但不限於:肺癌、腎癌(如:腎癌(renal cancer))、胃癌、乳癌、腦癌、肺癌、前列腺癌、肝細胞癌、胰臟癌、子宮頸癌、卵巢癌、肝癌、膀胱癌、尿道癌、甲狀腺癌、腫瘤、黑色素瘤、頭頸部癌、及大腸癌。As used herein, the terms "cancer," "neoplasm," and "tumor" are used to refer to cells that have spontaneous, uncontrolled growth; such cells are detached from normal growth. The type is characterized in that its overall cell proliferation is clearly out of control. In general, the cells of the invention to be detected, analyzed, graded, or treated include pre-cancerous (eg, benign), malignant, pre-metastatic, metastatic, and non-metastatic cells. Examples of cancer include, but are not limited to, lung cancer, kidney cancer (eg, renal cancer), gastric cancer, breast cancer, brain cancer, lung cancer, prostate cancer, hepatocellular carcinoma, pancreatic cancer, cervical cancer, ovarian cancer, Liver cancer, bladder cancer, urinary tract cancer, thyroid cancer, tumor, melanoma, head and neck cancer, and colorectal cancer.

根據癌症的本質,以取得適當病患之樣本。在此所使用之「癌組織樣本」乙詞係指自癌腫瘤取得之任何細胞。以實體腫瘤為例,典型地可自手術移除之腫瘤取得組織樣本,且藉由習知技術測試。或者是,一個體液樣本,如淋巴、血液或血清樣本、或滲出液體樣本,如癌器官滲出物(如:乳房滲出物)可被收集,且做為樣本以進行分析。就血癌而言,淋巴球或白血病細胞可被取得,且以適當方式處理。相似地,就任何轉移癌而言,細胞可自體液取得,該體液如:淋巴液、血液、血清、或遠端感染器官或其滲出物。According to the nature of the cancer, to obtain a sample of the appropriate patient. The term "cancer tissue sample" as used herein refers to any cell obtained from a cancerous tumor. In the case of solid tumors, tissue samples are typically taken from surgically removed tumors and tested by conventional techniques. Alternatively, a body fluid sample, such as a lymphatic, blood or serum sample, or a oozing liquid sample, such as a cancer organ exudate (eg, breast exudate), can be collected and used as a sample for analysis. In the case of blood cancer, lymphocytes or leukemia cells can be obtained and treated in an appropriate manner. Similarly, in the case of any metastatic cancer, the cells can be obtained from a bodily fluid such as lymph, blood, serum, or distally infected organs or exudates thereof.

癌症之「病理」包括所有現象,其危害病人之健康。此包括,但不限於不正常或不受控的細胞生長、轉移、干擾鄰近細胞之正常功能、細胞激素或其他釋放性產物以不正常程度釋放、發炎或免疫反應的抑制或惡化、腫瘤形成、初期癌、惡性腫瘤、浸潤周遭或遠端組織或器官,如淋巴結等。The "pathology" of cancer includes all phenomena that endanger the health of the patient. This includes, but is not limited to, abnormal or uncontrolled cell growth, metastasis, interference with the normal function of adjacent cells, release of cytokines or other released products with abnormal levels, inhibition or deterioration of inflammation or immune response, tumor formation, Initial cancer, malignant tumor, infiltration of peripheral or distal tissues or organs, such as lymph nodes.

在此所使用之「診斷」乙詞係指鑑別一分子或病理狀況、疾病或情況,例如鑑別乳癌、前列腺癌或其他類型癌症之分子亞型。As used herein, the term "diagnosis" refers to the identification of a molecular or pathological condition, disease or condition, such as a molecular subtype that identifies breast cancer, prostate cancer, or other types of cancer.

在此所使用之「預後」乙詞係指預測癌致死或癌變發展的可能性,包括腫瘤疾病(如肺癌、大腸癌、皮膚癌或食道癌)之復發、轉移散佈、及抗藥性。在此所使用之「預測」乙詞係指基於觀察、經驗、或科學性理由以做出之預測或估計。於一實例中,當病患經手術移除原發性瘤,及/或經化療一段時間後,而沒有癌症之復發,醫生可預測病患將會存活的可能性。The term "prognosis" as used herein refers to the possibility of predicting the development of cancer death or cancer, including recurrence, metastatic spread, and drug resistance of tumor diseases such as lung cancer, colorectal cancer, skin cancer or esophageal cancer. The term "forecast" as used herein refers to a prediction or estimate based on observations, experience, or scientific reasons. In one example, the physician can predict the likelihood that the patient will survive when the patient has surgically removed the primary tumor and/or after a period of chemotherapy without a cancer recurrence.

在此所使用之術語「相關」、或「與之相關」及其他相似術語,係指兩個事件之統計相關性,其中該事件包括數目、資料組及其類似物。例如:當該事件牽涉到數目,正相關(於此也稱為「直接相關」)意旨當一者增加時,另一者也會增加。負相關(於此也稱為「逆相關」)意旨當一者增加時,另一者減少。The term "related" or "related" and other similar terms as used herein refers to the statistical correlation of two events, including the number, data set, and the like. For example, when the event involves a number, positive correlation (also referred to herein as "direct correlation") means that when one increases, the other increases. Negative correlation (also referred to herein as "reverse correlation") means that when one increases, the other decreases.

術語「分離」意欲指出一化合物,係從自然伴隨於該化合物之所有或部分成分中,所分離者。「分離」亦指化合物(如:蛋白質),於製造過程時(如:化學合成、重組表現、培養基及其類似物),該化合物係從與之伴隨的全部或部分成分中分離之狀況。The term "isolated" is intended to indicate that a compound is isolated from all or part of the components naturally associated with the compound. "Isolation" also refers to a compound (eg, a protein) that is separated from all or part of its concomitant components during the manufacturing process (eg, chemical synthesis, recombinant expression, culture medium, and the like).

「生物樣本」包含取自個體之不同樣本類型,其定義包含血液及其他生物器官之液體樣本、實體組織樣本(如:活體樣本、或組織培養、或從其所取得之細胞、及其子代)。該定義亦包括自取得後以任何方式處理之樣本,像是以試劑處理、清洗、或富化特定細胞族群(如:癌細胞)。該定義亦包括經富化特定分子類型之樣本,如:核酸、多胜肽等。術語「生物樣本」包含臨床樣本,以及亦包括自手術切除之組織、活組織切片取得之組織、培養中之細胞、細胞上清液、細胞溶解物、組織樣本、器官、骨髓、血液、血漿、血清及其類似物。「生物樣本」包括自病患癌細胞取得之樣本,如:一樣本包含多核苷酸及/或多胜肽,係自病患之癌細胞(如:細胞溶解物或其他包含多核苷酸及/或多胜肽之細胞萃取物)取得;以及一樣本包含自病患來的癌細胞。一生物樣本包含自病患來的癌細胞,且亦可包括非癌細胞。A "biological sample" consists of different sample types taken from an individual. The definition includes liquid samples of blood and other biological organs, solid tissue samples (eg, living samples, or tissue culture, or cells obtained from them, and their progeny). ). The definition also includes samples that have been processed in any manner since they were obtained, such as treatment, washing, or enrichment of specific cell populations (eg, cancer cells). The definition also includes samples that are enriched for a particular molecular type, such as nucleic acids, multi-peptides, and the like. The term "biological sample" includes clinical samples, as well as tissues from surgical resection, tissues obtained from biopsy, cells in culture, cell supernatants, cell lysates, tissue samples, organs, bone marrow, blood, plasma, Serum and its analogues. "Biological sample" includes samples obtained from cancer cells of a patient, such as: a polynucleotide containing a polynucleotide and/or a multi-peptide, which is derived from a patient's cancer cells (eg, cell lysates or other polynucleotides and/or Or a cell extract of a multi-peptide, obtained; and the same cancer cells contained in the patient. A biological sample contains cancer cells from a patient and may also include non-cancer cells.

特定具體實施例之說明Description of specific embodiments

於此所揭露之抗體係為可與c-Met特定結合者,以及與之相關的組合物及其使用方法。使用方法包含癌症療法及診斷。The anti-system disclosed herein is a specific binding partner to c-Met, and compositions related thereto and methods of use thereof. Methods of use include cancer therapy and diagnosis.

該抗體包含至少一、二或全部三個的CDRs,該CDRs源自選殖株1、20或21之抗體的VH。該抗體亦包含該等包含至少一、二或全部三個CDRs,該CDRs源自選殖株1、20或21之抗體的VL。每一個VH或VL之CDR可被獨立選擇。亦或是,該抗體係與源自選殖株1、20或21之抗體相互競爭結合至c-Met(如:結合至相同的抗原決定基)。The antibody comprises at least one, two or all three CDRs, the CDRs is derived from an antibody V H clones are 21, 20 or of the. The antibody also includes those comprising one, at least two or all three CDRs, the CDRs is derived from an antibody V L clones are 21, 20 or of the. Each CDR V H or V L can be selected independently of. Alternatively, the antibody system competes with the antibody derived from the selected strain 1, 20 or 21 for binding to c-Met (eg, binding to the same epitope).

本發明之抗體亦可包含源自選殖株1、20或21之抗體的所有VH CDRs及/或VL CDRs。該抗體可包含源自選殖株1、20或21之抗體的全長VH鏈。該抗體亦可包含源自選殖株1、20或21之抗體的全長VL鏈。Antibody of the present invention can also include all V H CDRs and / or V L CDRs is derived from an antibody clones are 21, 20 or of the. The antibody may comprise a full length VH chain derived from an antibody of the selected strain 1, 20 or 21. The antibody may also comprise a full-length clones are optional source V L chain of antibody 1.20 or 21.

該抗體可為單鏈的Fv(scFv)、Fab、(Fab’)2、(ScFv)2及其類似物。該抗體可為IgG(如:IgG2)或其他同型,或可為一雙專一性抗體。The antibody may be a single chain Fv (scFv), Fab, (Fab') 2 , (ScFv) 2, and the like. The antibody may be an IgG (eg, IgG 2 ) or other isotype, or may be a pair of specific antibodies.

該抗體可與如抗癌藥物、標籤、可改善血清半衰期之小分子(如PEG)、胞飲作用等連結。該抗體亦可為一醫藥上可接受之賦形劑(如:存在於單位劑量之配方中)。本發明亦提供組合物,其包括一個或多個不同抗體,該抗體係選自於此所述之抗體,及/或包含源自抗體的一個或多個CDRs之抗體、及/或一個或多個抗體,其包含突變或衍生之抗體。該組合物可包括一個或多個抗體,如選殖株1、20、或21。The antibody can be linked to, for example, an anticancer drug, a tag, a small molecule (e.g., PEG) that improves serum half-life, a pinocytosis, and the like. The antibody may also be a pharmaceutically acceptable excipient (e.g., present in a unit dosage formulation). The invention also provides compositions comprising one or more different antibodies selected from the antibodies described herein, and/or antibodies comprising one or more CDRs derived from the antibody, and/or one or more An antibody comprising a mutated or derivatized antibody. The composition may include one or more antibodies, such as a selection strain 1, 20, or 21.

本發明之方法包括提供投予一個或多個於此所述之抗體,以一有效量來治療具有癌症之對象,其中該癌症所表現之抗原可被所述之抗體結合。本發明所提供之抗體亦可用以診斷/預後癌症之發展。The methods of the invention comprise administering one or more of the antibodies described herein, in an amount effective to treat a subject having cancer, wherein the antigen exhibited by the cancer is conjugated by the antibody. The antibodies provided by the present invention can also be used to diagnose/prognose the development of cancer.

於此所提供之核酸係編碼一個或多個於此所述之抗體。於此亦提供包含該等核酸之宿主細胞,且該等細胞可生產所述之抗體(如:藉由分泌的方式)。本發明亦提供一套組,可用以製備含有所述抗體之組合物、或用以施行所述之方法。The nucleic acid provided herein encodes one or more of the antibodies described herein. Host cells comprising such nucleic acids are also provided herein, and such cells can produce such antibodies (e.g., by secretion). The invention also provides a kit for preparing a composition comprising the antibody, or for performing the methods described.

抗體antibody

較佳抗體對於c-Met具有高親和力,該c-Met為一細胞膜受體,其可暴露於癌細胞之細胞表面。癌細胞例如包括自肺癌細胞(如:H1993或H441)及其他癌細胞所衍生者。所述之抗體包括經與抗原結合後被內化進入細胞之該等抗體,例如:一位於活的哺乳動物細胞表面之抗原,如:透過胞飲作用,像是受體媒介之胞飲作用。Preferred antibodies have a high affinity for c-Met, a cell membrane receptor that can be exposed to the cell surface of cancer cells. Cancer cells include, for example, those derived from lung cancer cells (eg, H1993 or H441) and other cancer cells. The antibody includes the antibody which is internalized into the cell after binding to the antigen, for example, an antigen located on the surface of a living mammalian cell, such as a pinocytosis effect, such as a pinocytosis of a receptor vector.

所述之抗體包括:與源自選殖株1、20、或21之抗體,相互競爭結合至c-Met抗原決定基之抗體。與其他抗體辨識相同抗原決定基之特定抗體能力,可藉由一抗體可競爭抑制第二抗體結合至抗原的能力來決定(如:藉由競爭結合試驗以決定)。於此所述之抗體亦包含:與源自選殖株1、20、或21之抗體,結合至相同抗原決定基之抗體。The antibody includes an antibody that competes with the antibody derived from the selected strain 1, 20, or 21 and competes for binding to the c-Met epitope. The ability of a particular antibody to recognize the same epitope as other antibodies can be determined by the ability of an antibody to compete for inhibition of binding of the second antibody to the antigen (e.g., by competition binding assays). The antibodies described herein also comprise an antibody that binds to the same epitope as the antibody from the selected strain 1, 20, or 21.

任何可用以測量兩抗體競爭結合至相同抗原的競爭結合試驗皆可被使用。例如:三明治ELISA試驗即可達成此目的。用以分析交叉反應之方法為該領域具有通常技藝者所習知(請參閱,如:Dowbenko et al.(1988)J. Virol. 62: 4703-4711)。Any competitive binding assay that can be used to measure the binding of two antibodies to the same antigen can be used. For example, a sandwich ELISA test can achieve this. Methods for analyzing cross-reactivity are well known to those of ordinary skill in the art (see, for example, Dowbenko et al. (1988) J. Virol . 62: 4703-4711).

當以第一抗體用於任何用以分析競爭結合試驗時,若第二抗體結合至抗原之能力被降低至少30%,通常至少降低約40%、50%、60%或75%、以及通常至少約90%,則一抗體被認為可競爭抑制第二抗體之結合。When the first antibody is used in any assay for competitive binding assays, if the ability of the second antibody to bind to the antigen is reduced by at least 30%, typically at least about 40%, 50%, 60% or 75%, and usually at least At about 90%, an antibody is considered to competitively inhibit binding of the second antibody.

亦可藉由提供一個或多個單離的目標抗原(如:全長的c-Met或其片段),以貼附於一實體支撐物(如:使用表面電漿共振),以分析一抗體結合至該目標的能力,或與於此所述之抗體競爭結合至該目標的能力,來確定。An antibody binding can also be analyzed by providing one or more isolated target antigens (eg, full length c-Met or fragments thereof) for attachment to a solid support (eg, using surface plasma resonance). The ability to the target, or the ability to compete with the antibodies described herein for binding to the target, is determined.

可被抗c-Met抗體(如:選殖株1及20)所結合之抗原決定基,係存在於c-Met配體(如:肝細胞生長因子)之結合位置。肝細胞生長因子之結合位置,係位於c-Met之相連胺基酸序列之25-567殘基位置。該抗原決定基亦可藉由其位於SEMA及PSI區間之位置而界定。An epitope that can be bound by an anti-c-Met antibody (eg, strains 1 and 20) is present at a binding site of a c-Met ligand (eg, hepatocyte growth factor). The binding site of hepatocyte growth factor is located at the 25-567 residue position of the linked amino acid sequence of c-Met. The epitope can also be defined by its location in the SEMA and PSI intervals.

此外,抗c-Met抗體(如:選殖株21)所結合之抗原決定基,可存在於c-Met之相連胺基酸序列之約567殘基位置至約932殘基位置。該抗原決定基亦可藉由其位於c-Met之類IgG區內之位置來界定。Furthermore, the epitope to which the anti-c-Met antibody (e.g., the selection strain 21) binds may be present from about 567 residues to about 932 residues of the linked amino acid sequence of c-Met. The epitope can also be defined by its position in the IgG region such as c-Met.

於上所用之c-Met殘基位置數字,係根據GenBank登錄號NP_000236.2或UniProt登錄號P08581所述之序列。The c-Met residue position number used above is based on the sequence described in GenBank Accession No. NP_000236.2 or UniProt Accession No. P08581.

與c-Met擁有相同抗原決定基之抗原,亦為本文所述之抗體可結合之標的。當結合至c-Met時,所述抗體可藉由會表現c-Met蛋白之細胞所內化。An antigen having the same epitope as c-Met is also the subject of binding of the antibodies described herein. When bound to c-Met, the antibody can be internalized by cells that express the c-Met protein.

抗c-Met抗體可親和結合之抗原決定基,於許多癌細胞上,尤其於細胞之細胞膜上,係為細胞表面暴露的且溶劑可接觸性(solvent-accessible)。當該細胞為活著時,該抗原決定基可為所述抗體接觸。例如,該抗原決定基可出現於源自肺臟、腎臟、肝臟、胃、乳房及腦部等之癌細胞上。抗c-Met抗體可親和結合之癌細胞,可為含有會表現c-Met癌細胞之任何癌症。The anti-c-Met antibody binds affinity to the epitope and is cell surface exposed and solvent-accessible on many cancer cells, especially on the cell membrane of cells. When the cell is alive, the epitope can be contacted by the antibody. For example, the epitope may be present on cancer cells derived from the lungs, kidneys, liver, stomach, breasts, and brain. The anti-c-Met antibody can bind to cancer cells affinityly, and can be any cancer containing c-Met cancer cells.

如上所記載,所述之抗體包含可與源自選殖株1、20、或21等之一個或多個抗體競爭之抗體。此外,該抗體可具有之結合親和力,係相當於或大於一抗體具有與c-Met約1 x 10-6 M之KD值。本發明之抗體對c-Met的KD值之範圍可介於1×10-6 M至約1×10-7 M、介於約1×10-7 M至約1×10-8、介於約1×10-8 M至約1×10-9 M。例如:本發明之抗體的KD值之範圍可介於約5×10-9 M至約2×10-8 M。As described above, the antibody comprises an antibody that competes with one or more antibodies derived from a selection strain 1, 20, or 21 or the like. In addition, the antibody may have a binding affinity of, based equivalent to or greater than a c-Met antibodies having from about 1 x K D value of 10 -6 M. The K D value of the antibody of the present invention for c-Met may range from 1 × 10 -6 M to about 1 × 10 -7 M, and is between about 1 × 10 -7 M and about 1 × 10 -8 . It is from about 1 x 10 -8 M to about 1 x 10 -9 M. For example: the range of K D values of antibodies of the invention can be between about 5 × 10 -9 M to about 2 × 10 -8 M.

所述抗體之實例包含該等具有相同結合專一性,以及包含至少兩個CDRs,該兩個CDRs分別獨立地,與下表1所示之各抗體(如:選殖株21的VH CDR1)的VH CDR之胺基酸序列,具有至少約80%、至少約87%、至少約93%、至少約94%、或高達100%之胺基酸序列相同性(identity)。所述抗體亦可包括全部三種CDRs,其來自於表1所示之各抗體的任何VH CDRs;其中所述抗體之每一個VH CDR係選自表1所示之單一抗體,且每個VH CDR獨立地,與表1所示抗體的VH CDR之胺基酸序列,具有至少約80%、至少約87%、至少約93%、至少約94%、或高達100%之胺基酸序列相同性。例如:所述抗體之重鏈可包含選殖株21之兩個VH CDRs或全部三個VH CDRs。或是,該重鏈可包含選殖株21之兩個VH CDRs或全部三個VH CDRs。Examples of such antibodies comprise the same binding specificity, and comprise at least two CDRs, each independently and with each of the antibodies shown in Table 1 below (eg, VH CDR1 of the selected strain 21) The amino acid sequence of the VH CDRs has at least about 80%, at least about 87%, at least about 93%, at least about 94%, or up to 100% amino acid sequence identity. The antibody may also include all three CDRs from any of the VH CDRs of each of the antibodies shown in Table 1; wherein each VH CDR of the antibody is selected from the single antibodies shown in Table 1, and each The VH CDRs independently, with at least about 80%, at least about 87%, at least about 93%, at least about 94%, or up to 100% of the amino group of the VH CDRs of the antibodies set forth in Table 1, Acid sequence identity. For example, the heavy chain of the antibody may comprise two VH CDRs or all three VH CDRs of the selected strain 21. Alternatively, the heavy chain may comprise two VH CDRs or all three VH CDRs of the selected strain 21.

輕鏈亦為相似,所述抗體將具有相同之結合專一性,以及可包含至少兩個CDRs,該兩個CDRs分別獨立地,與下表1所示之各抗體(如:選殖株21的VL CDR1)的VL CDR之胺基酸序列,具有至少約80%、至少約87%、至少約93%、至少約94%、或高達100%之胺基酸序列相同性。所述抗體亦可包括來自於表1所示之任何抗體的全部三種VL CDRs,且每個VL CDR獨立地,與表1所示抗體的VL CDR之胺基酸序列,具有至少約80%、至少約87%、至少約93%、至少約94%、或高達100%之胺基酸序列相同性。例如:所述抗體之輕鏈可包含選殖株21之兩個VL CDRs或全部三個VL CDRs。或是,該輕鏈可包含選殖株21之兩個VL CDRs或全部三個VL CDRs。The light chains are also similar, the antibodies will have the same binding specificity, and may comprise at least two CDRs, each independently and with each of the antibodies shown in Table 1 below (eg, the selection of strain 21) The amino acid sequence of the VL CDR of VL CDR1) has at least about 80%, at least about 87%, at least about 93%, at least about 94%, or up to 100% amino acid sequence identity. The antibodies may also include any from the table shown in all three V L CDRs of an antibody, and independently of each V L CDR with the amino acid sequence V L CDR of an antibody shown in Table 1, having at least about 80%, at least about 87%, at least about 93%, at least about 94%, or up to 100% amino acid sequence identity. For example: the light chain of antibody 21 may comprise two V L CDRs, or all three clones are V L CDRs. Or, 21 may comprise a light chain V L CDRs of two or all three clones are V L CDRs.

可選擇地,本發明之抗體可與表1所提供之重鏈或輕鏈所對應的架構序列,包含相同(如:100%相同)、相似或不同之架構序列(FR)。當該架構序列為相似時,該架構序列與下表1所示之任何抗體之對應的架構序列,可具有至少約85%、至少約86%、至少約90%、至少約93%、至少約96%、至少約98%、或高達100%之相同性。Alternatively, the antibody of the present invention may comprise the same (e.g., 100% identical), similar or different architectural sequence (FR) as the framework sequence corresponding to the heavy or light chain provided in Table 1. When the sequence of the architecture is similar, the framework sequence corresponding to any of the antibodies shown in Table 1 below can have at least about 85%, at least about 86%, at least about 90%, at least about 93%, at least about 96%, at least about 98%, or up to 100% identity.

因此,本發明之抗體可包含全長的VH及/或全長的VL序列,其與表1所示之全長的VH或VL序列,具有至少80%相同性、至少85%、至少90%、至少95%、或高達100%之胺基酸序列相同性。例如:所述抗體可包含選殖株21之全長的VH及/或全長的VL。或是,所述抗體可包含選殖株20之全長的VH及/或全長的VLAccordingly, the antibodies of the present invention may comprise V H and / or V L sequences of the full-length full-length, full length thereof as shown in Table 1 of the V H or V L sequence having at least 80% identity, at least 85%, at least 90 %, at least 95%, or up to 100% amino acid sequence identity. For example: The antibody may comprise full-length clones are of V H 21 and / or the full length V L. Or, the antibody may comprise full-length clones are of V H 20 and / or the full length V L.

生產抗體之方法Method of producing antibodies

使用於此處所提供之資訊,本發明之抗c-Met抗體係以該領域具有通常技藝者所熟知之標準技術製備。例如,於此處所提供之多胜肽序列(請參閱,如表1)可用以決定適當之核酸序列以編碼該抗體,接著將該核酸序列表現出一個或多個對c-Met具專一性之抗體。根據該領域具有通常技藝者所熟知之標準方法,可將該核酸序列適化以呈現特定密碼子以「迎合」不同表現系統所需之密碼子。Using the information provided herein, the anti-c-Met anti-system of the present invention is prepared in accordance with standard techniques well known to those of ordinary skill in the art. For example, the multi-peptide sequence provided herein (see, eg, Table 1) can be used to determine the appropriate nucleic acid sequence to encode the antibody, and then the nucleic acid sequence exhibits one or more specificity for c-Met. antibody. The nucleic acid sequences can be adapted to present a particular codon to "cater" to the codons required for the different expression systems, according to standard methods well known in the art to those skilled in the art.

使用所提供之序列資訊,該核酸可根據許多該領域具有通常技藝者所熟知之標準方法而合成。寡核苷酸合成較佳於市售可得之固相寡核苷酸合成機器合成,或使用如:固相亞磷醯胺三酯法,以人工合成。Using the sequence information provided, the nucleic acid can be synthesized according to a number of standard methods well known in the art to those skilled in the art. Oligonucleotide synthesis is preferably synthesized by commercially available solid phase oligonucleotide synthesis machinery, or artificially synthesized using, for example, a solid phase phosphite triester method.

一旦編碼所述抗體之核酸被合成後,其可根據標準方法以增幅及/或克隆化。可達成該等目標之分子克隆技術皆為該領域所熟知者。為數眾多之克隆方法,及活體外(in vitro)增幅方法,用以構築重組核酸,皆為該領域具有通常技藝者所習知者。Once the nucleic acid encoding the antibody is synthesized, it can be amplified and/or cloned according to standard methods. Molecular cloning techniques that achieve these goals are well known in the art. Numerous cloning methods, as well as in vitro amplification methods, for constructing recombinant nucleic acids are well known to those of ordinary skill in the art.

透過將一編碼抗體之核酸與啟動子(其可為持續性或誘導性的)連結,並將該構築置入表現載體中,以表現編碼本發明抗體的天然或合成的核酸。該載體可適於原核生物、真核生物、或兩者中進行複製及植入。典型的克隆載體包含轉錄及轉譯之終止子、初始序列、及啟動子,該啟動子可用以調控編碼該抗體之核酸的表現。該載體可選擇地含有通用表現卡匣(expression cassette),其包含至少一個獨立地終止子序列、可讓卡匣於原核生物及真核生物中進行複製之序列,如:穿梭載體(shuttle vector),以及可供原核生物系統及真核生物系統所用之篩選標記。A natural or synthetic nucleic acid encoding an antibody of the invention is expressed by ligating a nucleic acid encoding an antibody to a promoter (which may be persistent or inducible) and placing the construct in an expression vector. The vector may be suitable for replication and implantation in prokaryotes, eukaryotes, or both. A typical cloning vector comprises a transcriptional and translational terminator, an initial sequence, and a promoter that can be used to regulate the performance of the nucleic acid encoding the antibody. The vector optionally comprises a universal expression cassette comprising at least one independently terminator sequence, a sequence that allows for replication in prokaryotes and eukaryotes, such as a shuttle vector. And screening markers for use in prokaryotic and eukaryotic systems.

為了提高所克隆之核酸的高表現量,通常會將其構築於表現質體,其典型地含有強啟動子以直接轉錄、一供起始轉譯之核糖體結合部位、及一轉錄/轉譯終止子。將篩選用之標記包含於DNA載體上,再轉形(transform)入E. coli亦對此極有助益。該等標記之實例包括,可抵抗青黴素、四環素類、或氯黴素之基因。用以表現抗體之表現系統為易於取得的,如:大腸桿菌(E. coli)、芽胞桿菌(Bacillus sp.)及沙門氏菌-大腸桿菌系統(Salmonella. E. coli systems)皆可被使用。In order to increase the high expression of the cloned nucleic acid, it is usually constructed into a plastid, which typically contains a strong promoter for direct transcription, a ribosome binding site for initial translation, and a transcription/translation terminator. . It is also very helpful to include the marker for screening on the DNA vector and then transform it into E. coli . Examples of such markers include genes that are resistant to penicillin, tetracyclines, or chloramphenicol. The expression systems for expressing antibodies are readily available, such as E. coli , Bacillus sp. , and Salmonella E. coli systems.

該抗體基因亦可能被次選殖於一表現載體中,其可於抗體(如scFv)之C端或N端添加一標籤(如:6個組胺酸),以便純化。轉染(transferct)及於哺乳動物細胞中表現基因之方法係為該領域所熟知者。將核酸轉導至細胞可包含,如:將含有核酸之病毒載體與細胞一起培養,該細胞係為該載體之宿主範圍內的宿主。本發明所用之細胞培養,包括該領域所熟知之細胞株或源自組織或血液樣本之培養細胞。The antibody gene may also be sub-selected in a performance vector, which may be added to a C-terminus or N-terminus of an antibody (eg, scFv) with a tag (eg, 6 histidine) for purification. Methods for transfecting and expressing genes in mammalian cells are well known in the art. Transduction of the nucleic acid into the cell can comprise, for example, culturing the nucleic acid-containing viral vector with a cell that is the host within the host range of the vector. The cell culture used in the present invention includes cell strains well known in the art or cultured cells derived from tissue or blood samples.

當所述抗體之核酸被單離及完成克隆後,可於各種不同之經重組基因工程之細胞中,以表現該核酸;其中該細胞係為該領域具有通常技藝者所習知者。該等細胞之實例包括細菌、酵母菌、絲狀真菌、昆蟲(如:可應用於桿狀病毒載體之細胞)、及哺乳動物細胞。Once the nucleic acid of the antibody has been isolated and cloned, it can be expressed in a variety of different recombinantly engineered cells; wherein the cell line is well known to those of ordinary skill in the art. Examples of such cells include bacteria, yeasts, filamentous fungi, insects (e.g., cells that can be applied to baculovirus vectors), and mammalian cells.

單離及純化所述之抗體可根據該領域所熟知之方法達成。例如:蛋白可自細胞溶解物中所單離出來,該細胞經基因改造為可持續,及/或經誘導,以表現該蛋白;或藉由免疫親和純化法(或使用蛋白G或A沈澱),將該蛋白從合成反應混合物中單離出來;藉由沖洗以移除非專一性結合之物質,接著洗提出該專一性結合之抗體。該單離之抗體可藉由透析及其他常用於蛋白純化之方法以進一步純化。於一具體實施例中,係使用金屬螯和層析法以單離該抗體。本發明之抗體,如上所述,可包含修飾以便分離。Isolation and purification of the antibodies can be accomplished according to methods well known in the art. For example, the protein can be isolated from the cell lysate, the cell is genetically engineered to be sustainable, and/or induced to express the protein; or by immunoaffinity purification (or precipitation using protein G or A) The protein is isolated from the synthesis reaction mixture; the non-specifically bound material is removed by rinsing, and then the specifically bound antibody is eluted. The isolated antibody can be further purified by dialysis and other methods commonly used for protein purification. In one embodiment, metal chelation and chromatography are used to isolate the antibody. The antibodies of the invention, as described above, may comprise modifications for isolation.

所述抗體可製備為大體上純的或單離之形式(如:沒有其他多胜肽存在)。該蛋白可存在於一組合物中,其中相較於可能存在之其他成分(如:其他多胜肽或其他宿主細胞之成份),該蛋白係以一富化之多胜肽形式存在。本發明亦可提供純化的抗體,使該抗體存在於實質上沒有其他表現蛋白的一組合物中,如:該組合物低於90%、通常低於60%、及更常低於50%是由其他表現蛋白所組成。The antibody can be prepared in a substantially pure or isolated form (eg, no other multipeptide is present). The protein may be present in a composition in which the protein is present as an enriched multi-peptide, as compared to other components that may be present (eg, other multi-peptides or other host cell components). The invention may also provide a purified antibody such that the antibody is present in a composition that is substantially free of other proteins, such as less than 90%, typically less than 60%, and more often less than 50% of the composition. It consists of other expressed proteins.

本發明亦提供可用以生產所述抗體之細胞。該細胞可為融合細胞或「融合瘤」,其可於活體外生產抗體(如:單株抗體,像是IgG)。The invention also provides cells useful for producing the antibodies. The cell can be a fused cell or a "fusion tumor" which can produce antibodies (eg, monoclonal antibodies, such as IgG) in vitro.

本發明亦考量可用以製造抗體分子之抗原結合區的重組DNA的技術,且該技術可不需產生融合瘤。將DNA構築至如:細菌(如:噬菌體)、酵母菌、昆蟲或哺乳動物表現系統。一適用之技術的實例為,使用噬菌體λ(lambda)載體系統,其具有一前導序列可使得表現之抗體(如:Fab或scFv)移動至原生質周圍隙空間(介於細菌細胞膜及細胞壁之間)、或可使得表現之抗體被分泌出來。此可快速地產生大量之可與c-Met結合之功能性片段(如:scFv)。The present invention also contemplates techniques for making recombinant DNA for the antigen binding region of an antibody molecule, and which does not require the production of a fusion tumor. The DNA is constructed into, for example, bacteria (eg, phage), yeast, insect or mammalian expression systems. An example of a suitable technique is the use of a phage lambda (lambda) vector system with a leader sequence that allows the expression of an antibody (eg, Fab or scFv) to move into the space surrounding the protoplasm (between the bacterial cell membrane and the cell wall) Or may cause the expressed antibodies to be secreted. This quickly produces a large number of functional fragments (eg, scFv) that can be combined with c-Met.

修飾Modification

本發明包含之抗體及核酸,其可經修飾以賦予所欲之特性,如:可便於於對象體內將之遞送至特定類型之組織及/或細胞,可增加血清之半衰期,可增補抗癌活性等。本發明所提供之抗體可經修飾或不經修飾,且本發明所提供之抗體包括人類抗體、人源化抗體、及嵌合抗體。修飾所述抗體之其中一種方法為將一個或多個其他元素與該抗體之N端及/或C端結合(例如連結),該元素可為其他的蛋白、及/或藥物、或載體分子。The invention comprises an antibody and a nucleic acid which can be modified to impart desired properties, such as to facilitate delivery to a specific type of tissue and/or cells in a subject, increase serum half-life, and supplement anticancer activity. Wait. The antibodies provided by the present invention may or may not be modified, and the antibodies provided by the present invention include human antibodies, humanized antibodies, and chimeric antibodies. One method of modifying the antibody is to bind (e.g., link) one or more other elements to the N-terminus and/or C-terminus of the antibody, which may be other proteins, and/or drugs, or carrier molecules.

將所述抗體修飾與一連接物連接,其仍保有所欲之結合專一性,且可藉由所結合之第二分子的特性,以供該抗體額外所欲之特性。例如,所述之抗體可與第二分子結合,其有助於增加可溶性、儲存或其他操作之特性、細胞通透性、半衰期、降低免疫原性、控制其之釋放及/或分佈以例如標靶特定細胞(如:神經元、白血球、腫瘤細胞等)或細胞的位置(如:溶體、內體、粒線體等)、組織或其他身體位置(如:血液、神經組織、特定器官等)。其它實例包括該抗體可與染劑、螢光團或其他可偵測用之標籤、或報導子分子結合以進行分析、追蹤及其類似物。更特定而言,所述抗體可與第二分子結合,該第二分子像是胜肽、多胜肽、染劑、螢光團、核酸、醣類、抗癌劑、脂質及其類似物(如:於還原端或非還原端),該第二分子像是貼附的脂質分子(lipid moiety),包括N-脂肪醯基(像是N-油醯基)、脂肪胺類(像是十二烷胺、油醯胺及其類似物)。The antibody modification is ligated to a linker which still retains the desired binding specificity and which, by virtue of the nature of the second molecule being combined, provides the antibody with additional desirable properties. For example, the antibody can bind to a second molecule that helps to increase solubility, storage or other handling characteristics, cell permeability, half-life, reduce immunogenicity, control its release and/or distribution, for example, Target specific cells (eg, neurons, white blood cells, tumor cells, etc.) or the location of cells (eg, solutions, endosomes, mitochondria, etc.), tissue or other body locations (eg, blood, nerve tissue, specific organs, etc.) ). Other examples include that the antibody can be combined with a dye, fluorophore or other detectable label, or reporter molecule for analysis, tracking, and the like. More specifically, the antibody can bind to a second molecule such as a peptide, a multi-peptide, a dye, a fluorophore, a nucleic acid, a saccharide, an anticancer agent, a lipid, and the like ( For example, at the reducing end or the non-reducing end, the second molecule is like a labeled lipid moiety, including N-fatty thiol (such as N-oil sulfhydryl), fatty amines (like ten). Dialkylamine, oleic acid amine and the like).

例如:抗體可被內化入細胞內,本發明之抗體或核酸可被進一步修飾以增加或減少其遞送入細胞之效率。於此亦考量基因遞送方法以遞送於細胞內會表現所述抗體之核酸。藉由將抗體與胜肽或蛋白連結,以增加或降低抗體被細胞吸收(如:胞飲)之效率。例如:該抗體可與標的受體之配體連結、或與大分子(像是另一抗體)連結,此舉可使之更易於被胞飲機制所攝入。當胞飲小泡與溶體融合後,可藉由酸水解或酵素活性以釋放與該抗體所連結之載物。若要降低細胞吸收,與抗體連接之連接物可包括一配體,該配體可維持該抗體於細胞表面,此可有效用以控制細胞吸收,或於部分例子中,當降低某一細胞型態之吸收後,亦可增加了另一細胞型態之吸收。For example, an antibody can be internalized into a cell, and the antibody or nucleic acid of the invention can be further modified to increase or decrease its efficiency of delivery into the cell. A gene delivery method is also contemplated herein for delivery to a nucleic acid that will express the antibody in a cell. By increasing the association of antibodies with peptides or proteins, the efficiency of antibody uptake by cells (eg, pinocytosis) is increased or decreased. For example, the antibody can be linked to a ligand of the subject receptor or to a macromolecule (like another antibody), which makes it more susceptible to ingestion by the pinocytosis mechanism. When the pinocytosis vesicles are fused to the solution, the carrier linked to the antibody can be released by acid hydrolysis or enzyme activity. To reduce cellular uptake, the linker to the antibody can include a ligand that maintains the antibody on the cell surface, which can be used to control cellular uptake, or in some instances, when lowering a cell type After the absorption of the state, the absorption of another cell type can also be increased.

結合抗體之其他特性可包括,相較於未結合之抗體,該結合抗體可降低毒性。另一特性,相較於未結合之抗體,該結合抗體可更有效率地標靶一類型之細胞或器官(如:癌細胞或癌組織)。Other properties of the binding antibody can include reducing the toxicity of the antibody compared to the unbound antibody. Another property is that the conjugated antibody targets a cell or organ of a type (eg, cancer cell or cancer tissue) more efficiently than an unbound antibody.

其它實例包括,一抗體,與一個或多個分子結合,其可補充、加強、增強或與該抗體之協同作用。該抗體可貼附至:抗癌藥物,例如:此可用以將該藥物遞送至癌症部位以便進行細胞毒殺或清除,例如:抗增生部分(如:VEGF拮抗劑、如:抗VEGF抗體)、毒素(例如:阿黴素、蓖麻毒素、綠膿桿菌外毒素A及其類似物)、放射性核種(如:90Y、131I、177L、10B可供硼中子捕獲,及其類似物)、抗癌劑、及/或寡核甘酸(如:siRNA)。Other examples include an antibody that binds to one or more molecules that complement, enhance, enhance, or synergize with the antibody. The antibody can be attached to: an anticancer drug, for example, this can be used to deliver the drug to a cancer site for cytotoxic or clearance, for example, an anti-proliferative moiety (eg, a VEGF antagonist, eg, an anti-VEGF antibody), a toxin (eg: doxorubicin, ricin, Pseudomonas aeruginosa exotoxin A and its analogues), radionuclides (eg 90 Y, 131 I, 177 L, 10 B for boron neutron capture, and analogues thereof) ), an anticancer agent, and/or an oligonucleotide (eg, siRNA).

含有抗體之微脂體。例如,藉由共價或非共價修飾,可將一抗體製備於一脂質的奈米微粒(如:微脂體)內。例如,該抗體可直接透過Fc區以貼附於脂質奈米微粒的表面。該抗體亦可透過一連接子,以共價貼附至接枝於脂質奈米微粒表面的聚合物末端。該等連結的脂質奈米微粒於此可稱為「免疫微脂體」。A liposome containing an antibody. For example, an antibody can be prepared in a lipid nanoparticle (eg, a liposome) by covalent or non-covalent modification. For example, the antibody can be directly affixed to the surface of the lipid nanoparticle by passing through the Fc region. The antibody can also be covalently attached to the end of the polymer grafted onto the surface of the lipid nanoparticle by a linker. These linked lipid nanoparticles may be referred to herein as "immunolipids".

一編碼本發明抗體(如:S20)之基因可於產生的C端與半胱胺酸融合。該半胱胺酸融合蛋白係透過其之C端半胱胺酸,經由部位導向的連結(site-directed conjugation),以特定地耦合至位於微脂體外表面之馬來醯亞胺修飾的PEG鏈。該免疫微脂體可承載一個或多個抗癌劑,諸如小分子、胜肽、及/或核酸(如:siRNAs)、或其他本領域所習知之任一者。例如該微脂體可含有抗癌藥物,如:阿黴素。所述抗體於一免疫微脂體內可作為一標靶分子,以驅使該免疫微脂體可專一地結合至癌細胞表面之c-Met。用以製備及裝載脂質奈米微粒,如微脂體及免疫微脂體,之方法係為該領域所熟知者。請參閱,如:US 7749485及US 20070031484,該等揭露內容亦於此引入以參閱。A gene encoding an antibody of the invention (e.g., S20) can be fused to cysteine at the C-terminus produced. The cysteine fusion protein is specifically coupled to a maleic imine-modified PEG chain located on the outer surface of the liposome via a site-directed conjugation through its C-terminal cysteine. . The immunolipid can carry one or more anticancer agents, such as small molecules, peptides, and/or nucleic acids (e.g., siRNAs), or any of those conventional in the art. For example, the liposome may contain an anticancer drug such as doxorubicin. The antibody acts as a target molecule in an immunolipid to drive the immunolipid to specifically bind to c-Met on the surface of the cancer cell. Methods for preparing and loading lipid nanoparticles, such as liposomes and immunoliposomes, are well known in the art. Please refer to, for example, US Pat. No. 7,749,485 and US Pat.

本發明之抗體可選擇地進行修飾(如:藉由聚乙烯二醇化、高糖化及其類似物),以提供改良的藥物動力學資訊。用以增強血清之半衰期的修飾亦為本發明所感興趣者。當其含有一個或多個聚(乙二醇)(PEG)分子時,所述抗體可為「聚乙烯二醇化的」。適用於將蛋白進行聚乙烯二醇化的試劑及方法為該領域所習知的,且可於美國專利號5,849,860中查詢到,其揭露內容亦於此引入以參閱。The antibodies of the invention are optionally modified (e.g., by polyethylene glycolation, hyperglycosylation, and the like) to provide improved pharmacokinetic information. Modifications to enhance the half-life of serum are also of interest to the present invention. When it contains one or more poly(ethylene glycol) (PEG) molecules, the antibody can be "polyethylene glycolated." Reagents and methods for the polyethylene glycolation of proteins are known in the art and can be found in U.S. Patent No. 5,849,860, the disclosure of which is incorporated herein by reference.

當所述抗體係從一來源中所單離出來的,則所述之蛋白可與一些分子連結以便純化,像是專一結合對(specific binding pair)之成員,如:生物素(生物素-卵白素專一結合對之一員)、凝集素及其類似物。所述蛋白亦可被結合至(如:固化至)一實體支撐物,包括但不限於:聚苯乙烯盤或珠子、磁珠、試驗條、膜及其類似物。When the anti-system is isolated from a source, the protein can be linked to some molecule for purification, such as a member of a specific binding pair, such as biotin (biotin-oval) It is a combination of a single person, a lectin and its analogues. The protein may also be bound (e.g., cured) to a solid support, including but not limited to: polystyrene disks or beads, magnetic beads, test strips, membranes, and the like.

當該抗體於試驗中欲被偵測到,則所述蛋白亦可含有一可偵測之標籤,如:放射性同位素(如:125I、35S及其類似物)、酵素(如:螢光素酶、β-半乳糖苷酶、辣根過氧化物酶、鹼性磷酸酶及其類似物),其可生成一可被偵測的產物、螢光蛋白、產色的蛋白(chromogenic protein)、染劑(如:螢光異硫氰酸鹽(fluorescein isothiocyanate)、玫紅(rhodamine)、藻紅素(phycoerythrin)及其類似物)、螢光發射金屬,如:152Eu、或其他的鑭族元素,其可透過金屬螯合基(如EDTA)以將該金屬貼附於蛋白上;化學螢光化合物,如:發光胺、異發光胺、吖啶鹽及其類似物;生物螢光化合物,如:螢光素、螢光蛋白及其類似物。非直接性的標籤包括對於所述蛋白具專一性之抗體,其中該抗體可透過二級抗體而偵測;以及專一結合對(specific binding pairs)之成員,如:生物素-卵白素及其類似物。When the antibody is to be detected in the assay, the protein may also contain a detectable label, such as: a radioisotope (eg, 125 I, 35 S and its analogs), an enzyme (eg, fluorescent) a chromogenic protein, a phosphogenic protein, a phosphogenic protein, a phosphogenic protein , dyes (such as: fluorescein isothiocyanate, rhodamine, phycoerythrin and its analogues), fluorescent emission metals, such as: 152 Eu, or other 镧a family element permeable to a metal chelating group (such as EDTA) to attach the metal to the protein; chemical fluorescent compounds such as luminescent amines, isoluminescent amines, acridine salts and the like; bioluminescent compounds Such as: luciferin, fluorescent protein and their analogues. Indirect labels include antibodies specific for the protein, wherein the antibody is detectable by secondary antibodies; and members of specific binding pairs, such as biotin-avidin and the like Things.

前述用以修飾所述抗體之任何元素,可透過一連接子,如具彈性之連接子,以與該抗體連結。若存在該連接子時,該連接子分子通常具足夠之長度以供抗體及一連結的載體,於該抗體及載體間,使之可進行具彈性之移動。該連接子分子通常約為6-50原子長度。該連接子分子亦可為,例如,芳基乙炔、含有2-10個單分子單位之乙二醇寡聚物、二元胺、二元酸、胺基酸、或其組合。Any of the elements described above for modifying the antibody may be linked to the antibody via a linker, such as a flexible linker. In the presence of the linker, the linker molecule is typically of sufficient length to provide for the antibody and a linked carrier between the antibody and the carrier for resilient movement. The linker molecule is typically about 6-50 atomic in length. The linker molecule can also be, for example, an aryl acetylene, a glycol oligomer containing 2-10 single molecule units, a diamine, a dibasic acid, an amino acid, or a combination thereof.

當該連接子為胜肽時,該連接子可為任何適用之不同長度,諸如從1個胺基酸(如Gly)至20個或更多個胺基酸,從2個胺基酸至15個胺基酸,從3個胺基酸至12個胺基酸,包括4個胺基酸至10個胺基酸,5個胺基酸至9個胺基酸、6個胺基酸至8個胺基酸、或7個胺基酸至8個胺基酸,以及可為1、2、3、4、5、6、或7個胺基酸。When the linker is a peptide, the linker can be of any suitable length, such as from 1 amino acid (such as Gly) to 20 or more amino acids, from 2 amino acids to 15 Amino acid, from 3 amino acids to 12 amino acids, including 4 amino acids to 10 amino acids, 5 amino acids to 9 amino acids, 6 amino acids to 8 An amino acid, or 7 amino acids to 8 amino acids, and may be 1, 2, 3, 4, 5, 6, or 7 amino acids.

具彈性之連接子包括甘胺酸聚合物(G)n、甘胺酸-絲胺酸聚合物(包括,如(GS)n、GSGGSn(SEQ ID NO: 1)及GGGSn(SEQ ID NO: 2),其中n為至少為1之整數)、甘胺酸-丙胺酸聚合物、丙胺酸-絲胺酸聚合物、及其他該領域所熟知之具彈性連接子。當較為無結構性之胺基酸為所欲者時,則甘胺酸及甘胺酸-甘絲胺酸聚合物即可被使用,以及其可於不同成分間做為一中性的範圍。該等具彈性之連接子實例包括但不限於,GGSG(SEQ ID NO:3)、GGSGG(SEQ ID NO:4)、GSGSG(SEQ ID NO: 5)、GSGGG(SEQ ID NO: 6)、GGGSG(SEQ ID NO: 7)、GSSSG(SEQ ID NO: 8)及其類似物。具有通常技藝者將可辨識出將前述之任何元素以連結至胜肽的設計,可包括全部或部分具彈性的連接子,因此該連接子可包括一具彈性的連接子以及一個或多個位置,該位置則賦予較少彈性之結構。Elastomeric linkers include glycine polymer (G) n , glycine-serine polymers (including, for example, (GS) n , GGSGS n (SEQ ID NO: 1), and GGGS n (SEQ ID NO) 2), wherein n is an integer of at least 1), a glycine-alanine polymer, an alanine-silic acid polymer, and other elastic linkers well known in the art. Glycine and glycine-glycine polymers can be used when relatively unstructured amino acids are desired, and they can be used as a neutral range between the different components. Examples of such flexible linkers include, but are not limited to, GGSG (SEQ ID NO: 3), GGSGG (SEQ ID NO: 4), GGSSG (SEQ ID NO: 5), GSGGG (SEQ ID NO: 6), GGGSG (SEQ ID NO: 7), GSSSG (SEQ ID NO: 8) and analogs thereof. Those of ordinary skill in the art will recognize that any of the foregoing elements are linked to a peptide, and may include all or a portion of a resilient linker such that the linker may comprise a resilient linker and one or more positions. This position gives less elastic structure.

人源基因工程抗體。本發明之抗體可為免疫球蛋白之形式,如人類IgG。例如,本發明之抗體為scFV形式,其可與人類恆定區(human constant region)(如Fc區)連接,以製備為人類免疫球蛋白,如一完整的IgG免疫球蛋白。 Human genetically engineered antibodies . The antibodies of the invention may be in the form of immunoglobulins, such as human IgG. For example, an antibody of the invention is in the form of an scFV that can be ligated to a human constant region (eg, an Fc region) to produce a human immunoglobulin, such as a complete IgG immunoglobulin.

Fc區。本發明之可結合至c-Met之抗體可含有Fc區。該Fc區可為任何自然存在於人類或其他動物之同形物(如:衍生自任何類型或亞型之免疫球蛋白),且該Fc區可選擇地以進一步修飾以獲得不同之功能。當該Fc區為非人源的,且該CDR及/或FR區為人源的,則該抗體可稱為一個嵌合抗體。該Fc區可於一個或多個胺基酸殘基位置進行修飾以獲得增強之效用,像是誘發細胞媒介之細胞毒性、或活化補體活性(如C1q結合或補體依賴性之細胞毒性)、向下調控細胞表面受體等。各種Fc之變異型皆可被用於本發明之抗體中,其詳細說明請參閱,如:US7,416,727、US7,371,826、US7,335,742、US7,355,008、US7,521,542、及US7,632,497;其揭露內容亦於此引入以參閱。 Fc region . An antibody of the invention that binds to c-Met may contain an Fc region. The Fc region can be any homologue naturally present in a human or other animal (e.g., an immunoglobulin derived from any type or subtype), and the Fc region can optionally be further modified to achieve a different function. When the Fc region is non-human and the CDR and/or FR region is of human origin, the antibody may be referred to as a chimeric antibody. The Fc region can be modified at one or more amino acid residue positions to achieve enhanced utility, such as inducing cellular cytotoxicity, or activating complement activity (eg, C1q binding or complement dependent cytotoxicity), Down regulation of cell surface receptors and the like. A variety of variants of Fc can be used in the antibodies of the invention, as described in, for example, US 7,416,727, US 7,371,826, US 7,335,742, US 7,355,008, US 7,521,542, and US 7,632,497; The disclosure is also hereby incorporated by reference.

組合物combination

所述之組合物提供抗體、及/或編碼該抗體之核酸,其中該抗體可結合至會表現c-Met的癌細胞,且可為癌細胞所內化。本發明之組合物被發現可用於治療含有癌症之對象(如:人類),且於任何階段之癌症,可適於使用本發明之組合物來治療。The composition provides an antibody, and/or a nucleic acid encoding the antibody, wherein the antibody binds to a cancer cell that exhibits c-Met and can be internalized by a cancer cell. The compositions of the present invention have been found to be useful in the treatment of a subject (e.g., a human) having cancer, and cancer at any stage may be suitable for treatment using the compositions of the present invention.

本發明提供之組合物可包含一個、兩個、或多個不同之抗體,以做為一醫藥組合物,並將之投予有其需求之哺乳動物(如:投予人類)。The compositions provided herein may comprise one, two, or a plurality of different antibodies as a pharmaceutical composition and administered to a mammal in need thereof (e.g., administered to a human).

於此所述之組合物可包含一個、兩個、三個、或多個不同之本發明的抗體(及/或編碼該等抗體之核酸)。例如,該組合物可包含以下之一個或多個:選殖株1、2、及3。該組合物可選擇地進一步包括含有一個或多個源自該等抗體之CDRs的抗體,及/或一個或多個含有該等抗體之變種或衍生物之抗體。The compositions described herein may comprise one, two, three, or a plurality of different antibodies (and/or nucleic acids encoding the antibodies) of the invention. For example, the composition may comprise one or more of the following: strains 1, 2, and 3. The composition optionally further comprises an antibody comprising one or more CDRs derived from the antibodies, and/or one or more antibodies comprising a variant or derivative of the antibodies.

本發明之組合物之實例可包括任何於表1所揭露之抗體。當該組合物含有兩個或多個抗體時,每一個抗體可對相同或不同抗原決定基具專一性、或對不同抗原之抗原決定基具專一性。例如,該組合物含有至少一個抗體,係對c-Met之抗原決定基具專一性,以及其他抗體可對其他細胞表面抗原,如EGFR,具專一性。該組合物亦可含有雙重專一性、多重專一性之抗體、或編碼其之核酸。Examples of the compositions of the invention may include any of the antibodies disclosed in Table 1. When the composition contains two or more antibodies, each antibody may be specific for the same or different epitopes, or may be specific for the epitope of a different antigen. For example, the composition contains at least one antibody that is specific for the epitope of c-Met, and other antibodies may be specific for other cell surface antigens, such as EGFR. The composition may also contain a dual specificity, a multi-specific antibody, or a nucleic acid encoding the same.

本發明之抗體可單獨使用,及/或與其他成分一同使用(如:以形成雙重專一性或多重專一性抗體),及/或與其他習知之抗癌劑一同使用(如:用以治療癌症之抗體)。例如,該組合物,如微脂體,可包含兩個或多個抗體,其中抗體中之至少一個為本發明之抗體。如上所述,該微脂體可含有一個或多個抗體,其與本發明所述之抗體不同。該等微脂體可為雙重專一性、多重專一性等,亦即該微脂體除了對於本發明所述抗體之抗原決定基具專一性外,亦對另一個抗原決定基具專一性。The antibodies of the invention may be used alone, and/or together with other ingredients (eg, to form dual specific or multiple specific antibodies), and/or used in conjunction with other conventional anticancer agents (eg, for the treatment of cancer) Antibody). For example, the composition, such as a liposome, can comprise two or more antibodies, wherein at least one of the antibodies is an antibody of the invention. As described above, the liposome may contain one or more antibodies which are different from the antibodies of the present invention. The liposomes may be of dual specificity, multiple specificity, etc., that is, the liposome is specific to the other antigenic determinant in addition to the specificity of the epitope of the antibody of the present invention.

組合物之組合的形式,可以單一配方形式提供、或於一套組中分開的配方來提供,其中該分開的配方可含有單一的抗體或兩個抗體。套組中之分開的配方可於投予前混合或分開注射以投予。The combination of the compositions may be provided as a single formulation or as a separate formulation in a set, wherein the separate formulation may contain a single antibody or two antibodies. Separate formulations in the kit can be administered prior to administration or separately for administration.

所述之醫藥組合物可以存於醫藥上可接受之賦形劑中來提供,該賦形劑可為溶液,如水溶液,通常為生理食鹽水溶液、或其可以粉末狀形式提供。所述之組合物可包含其他成分,像是醫藥級之甘露醇、乳糖、澱粉、硬脂酸鎂、糖精鈉、滑石、纖維素、葡萄糖、蔗糖、鎂、碳酸酯及其類似物。該組合物可含有醫藥可接受之輔劑,以使之達到適當之生理環境,像是pH調整及緩衝劑、毒性調整劑及其類似物,例如:醋酸鈉、氯化鈉、氯化鉀、氯化鈣、乳酸鈉及其類似物。The pharmaceutical composition may be provided in a pharmaceutically acceptable excipient which may be a solution, such as an aqueous solution, usually a physiological saline solution, or it may be provided in powder form. The compositions may contain other ingredients such as pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharin, talc, cellulose, glucose, sucrose, magnesium, carbonates, and the like. The composition may contain pharmaceutically acceptable adjuvants to achieve a suitable physiological environment, such as pH adjustment and buffering agents, toxicity modulators and the like, such as sodium acetate, sodium chloride, potassium chloride, Calcium chloride, sodium lactate and the like.

所述抗體,如以醫藥可接受鹽類之形式,可被調製以供口服、局部或非口服投予,以用於下述方法中。於某些具體實施例中,如:當該抗體以液態可注射形式投予時,該抗體配方係以立即可用之劑形提供、或以由醫藥上可接受之載劑及賦形劑所組成之可復水的穩定儲存之粉末、或液狀提供。The antibody, if in the form of a pharmaceutically acceptable salt, can be formulated for oral, topical or parenteral administration for use in the methods described below. In certain embodiments, such as when the antibody is administered in a liquid injectable form, the antibody formulation is provided as a ready-to-use dosage form or as a pharmaceutically acceptable carrier and excipient. It can be reconstituted in a stable storage powder or in liquid form.

本發明之組合物可包括治療有效量之所述抗體,以及任何其他相容的成分(如需要的話)。「治療有效量」意旨可為單一劑形,或為一系列相同或不同抗體或組合物中之一部份,投予一個體時,可有效地抑制對象體內的癌細胞之增生及/或轉移之量。該治療有效量之抗體可影響細胞生長,亦包括與一個或多個其他療法(如:免疫療法、化療、放射性療法等)合作,及/或協同以抑制細胞生長。如下所記載,可視給藥療程、及病患狀況之診斷分析等(如:使用對c-Met具專一性之抗體,偵測細胞表面抗原基之出現與否),以調整該治療有效量。Compositions of the invention may include a therapeutically effective amount of the antibody, as well as any other compatible ingredients, if desired. "Therapeutically effective amount" is intended to mean a single dosage form, or a series of identical or different antibodies or parts of a composition, which, when administered to a body, is effective in inhibiting the proliferation and/or metastasis of cancer cells in a subject. The amount. The therapeutically effective amount of the antibody can affect cell growth and also includes cooperating with one or more other therapies (eg, immunotherapy, chemotherapy, radiation therapy, etc.), and/or synergistically to inhibit cell growth. As described below, the therapeutically effective amount can be adjusted by visually administering the treatment course and the diagnostic analysis of the patient's condition (for example, using an antibody specific for c-Met to detect the presence or absence of a cell surface antigen group).

量及劑形。於一醫藥調製物中,該抗體之濃度可不同,如以重量計,可低於約0.1%、通常為或至少約為2%,至多為20%至50%,或更多,以及可依據所選擇投予之特定方式及病患需求,以液體體積、黏度等來選擇。所得之組合物可為溶液、懸浮液、片劑、丸劑、囊劑、粉劑、膠劑、乳狀劑、洗滌劑、膏劑、霧劑或其類似物的形式。 Amount and dosage form . The concentration of the antibody may vary from one pharmaceutical preparation to less than about 0.1%, usually or at least about 2%, up to 20% to 50%, or more, and may be The specific mode of choice and the patient's needs are selected by liquid volume, viscosity, and the like. The resulting composition may be in the form of a solution, suspension, tablet, pill, sachet, powder, gel, emulsion, detergent, ointment, aerosol or the like.

此外,可根據抗癌劑或免疫抑制劑,其已知可作用於所要的生長抑制或免疫抑制反應,以決定適用之劑量及給藥療程。該等劑量包括於低劑量時可抑制細胞生長且不會有明顯的副作用。於適當劑量下,且伴隨投予適用之特定化合物,該本發明之化合物可提供廣泛之細胞內反應,如從部分抑制至實質上完全抑制細胞生長。治療劑量可為單劑量方式或為多劑量方式(如:包括漸進式劑量,及維持式劑量)。如下所述,所述之組合物可搭配其他藥劑投予,且在本文該劑量及給藥療程為可變化的,視病患需求以適當調整。Furthermore, it is known that it can act on the desired growth inhibition or immunosuppressive response depending on the anticancer agent or immunosuppressive agent to determine the appropriate dosage and course of administration. These doses include inhibition of cell growth at low doses without significant side effects. The compounds of the present invention provide a wide range of intracellular reactions, such as from partial inhibition to substantially complete inhibition of cell growth, at appropriate dosages, with concomitant administration of a particular compound. The therapeutic dose can be in a single dose mode or in a multiple dose mode (eg, including a progressive dose, and a maintenance dose). As described below, the composition can be administered in combination with other agents, and the dosage and course of administration herein can be varied, depending on the patient's needs.

組合療法Combination therapy

有許多不同之癌症療法皆可與本發明所述之抗體搭配於組合物中使用。例如,用於化療之藥劑或生物反應調整劑療法,可存在於含有本發明所述抗體之醫藥組合物中,如免疫微脂體。可與所述抗體搭配使用之某些藥劑,將於下文簡述。There are many different cancer therapies that can be used in combination with the antibodies of the present invention. For example, an agent for chemotherapy or a biological response modifier therapy may be present in a pharmaceutical composition comprising an antibody of the invention, such as an immunolipid. Certain agents that can be used in conjunction with the antibodies are briefly described below.

化療劑為非胜肽性的(如非蛋白質源的)化合物,可降低癌細胞之增生,以及包含細胞毒性劑及細胞生長抑制劑。化療劑之非限制性實例包括:烷化劑、亞硝基脲(nitrosoureas)、抗代謝藥物、抗腫瘤抗生素、植物(如長春花)生物鹼、核酸,像是抑制性核酸(如siRNA)、及類固醇荷爾蒙。Chemotherapeutic agents are non-peptidic (eg, non-proteinogenic) compounds that reduce the proliferation of cancer cells and include cytotoxic agents and cytostatic agents. Non-limiting examples of chemotherapeutic agents include: alkylating agents, nitrosoureas, antimetabolites, antitumor antibiotics, plant (eg, vinca) alkaloids, nucleic acids, such as inhibitory nucleic acids (eg, siRNA), And steroid hormones.

抗代謝藥包括,例如,葉酸類似物、嘧啶類似物、嘌呤類似物、及腺苷脫胺酶抑制劑。Antimetabolites include, for example, folic acid analogs, pyrimidine analogs, purine analogs, and adenosine deaminase inhibitors.

可做為抗癌劑之適用的天然產品及其衍生物(如長春化生物鹼、抗腫瘤抗生素、酵素、淋巴激素、及表鬼臼脂素(epipodophyllotoxin))。如紫杉烷類,像是紫杉醇,以及任何具活性的紫杉烷衍生物、或前驅藥物(pro-drug)。It can be used as an anti-cancer agent for natural products and their derivatives (such as vinca alkaloids, anti-tumor antibiotics, enzymes, lymphatic hormones, and epipodophyllotoxin). Such as taxanes, such as paclitaxel, and any active taxane derivatives, or pro-drugs.

其他抗增生之細胞毒性劑為納維賓(Navelbene)、CPT-11、安納退唑(Anastrazole)、來退唑(Letrazole)、凱普西塔賓(Capecitabine)、瑞羅杉芬(Reloxafine)、環磷醯胺(cyclophosphamide)、伊氟醯胺(ifosamide)、及拓羅山芬(Droloxafine)。具抗增生活性之微管影響劑亦適於使用。荷爾蒙調節劑及類固醇(包含合成的類似物)亦適於使用。Other anti-proliferative cytotoxic agents are Navelbene, CPT-11, Anastrazole, Letrazole, Capecitabine, Reloxafine, and ring. Cyclophosphamide, ifosamide, and Droloxafine. Microtubule affecting agents with anti-proliferative activity are also suitable for use. Hormonal modulators and steroids (including synthetic analogs) are also suitable for use.

治療方法treatment method

於此提供一種方法,係藉由投予本發明之抗體以降低癌細胞之增生。病患具有,疑似具有,或有發展為癌症之風險者,皆為本發明所考量用以治療及診斷之對象。There is provided a method for reducing proliferation of cancer cells by administering an antibody of the invention. Patients with, suspected, or at risk of developing cancer are considered for treatment and diagnosis.

該方法涉及投予一治療有效量之抗c-Met抗體予一有需求之病患。投予該抗體可抑制癌細胞增生、降低腫瘤重量、降低轉移、及/或改善病患之臨床診斷結果。The method involves administering a therapeutically effective amount of an anti-c-Met antibody to a patient in need thereof. Administration of the antibody inhibits cancer cell proliferation, reduces tumor weight, reduces metastasis, and/or improves clinical diagnosis of the patient.

於一哺乳動物對象,特別為人類,本發明之方法可用於其之各種不同之癌症療法中(包括癌症預防及診斷後之癌症療法)。該病患具有,疑似具有,或有發展為腫瘤之風險者,皆為本發明所考量用以治療者。In a mammalian subject, particularly a human, the methods of the invention can be used in a variety of different cancer therapies (including cancer therapies for cancer prevention and diagnosis). The patient has, suspected of having, or has the risk of developing a tumor, all of which are considered for the treatment of the present invention.

於相關具體實施例中,被治療之對象具有表現(如過量表現)c-Met的細胞。c-Met會於癌細胞表面上表現,且相較於非癌細胞,於癌細胞上c-Met常呈現較高的表現量。此觀點對於本發明所述之治療方法十分有助益,係因可使用本發明之抗體用以治療控制會表現或呈現c-Met之細胞。該抗體可被投予病患,例如,當該抗原尚無法偵測時即可開始進行療法,但此非侷限其用法。亦可於觀察到疾病徵兆之第一病徵前、或於可能患有疾病之第一病徵時、或於確診前、或經確診後,即開始抗體療法。In a related embodiment, the subject being treated has cells that exhibit (e.g., overexpress) c-Met. c-Met will be expressed on the surface of cancer cells, and c-Met often exhibits a higher expression on cancer cells than non-cancer cells. This view is very helpful for the treatment methods described herein, as antibodies of the invention can be used to treat cells that exhibit or exhibit c-Met. The antibody can be administered to a patient, for example, when the antigen is not yet detectable, but the treatment is not limited. Antibody therapy can also be initiated before the first sign of the disease is observed, or when the first sign of the disease is likely to occur, or before the diagnosis, or after diagnosis.

例如,可藉由本發明之方法以抑制之癌症,包括但不限於:癌症,包含腺癌、及尤其是肺癌(非小細胞及小細胞)。其他癌症亦可被治療者,包括該等源自腦部、大腸、胃、頭頸部、胃、腎、肝及乳房之癌症。For example, cancers that can be inhibited by the methods of the invention include, but are not limited to, cancer, including adenocarcinoma, and especially lung cancer (non-small cells and small cells). Other cancers can also be treated, including those derived from the brain, large intestine, stomach, head and neck, stomach, kidney, liver, and breast.

癌症類型Type of cancer

於本文所提及之方法,可用於治療或預防各種不同之癌症,尤其是牽涉到形成血管新生及癌轉移的癌症。可使用本發明之方法以治療之癌症實例如下所示。The methods described herein can be used to treat or prevent a variety of different cancers, particularly those involving angiogenesis and cancer metastasis. Examples of cancers that can be treated using the methods of the invention are shown below.

可用於此所揭露方法治療之癌症包括,但不限於:食道癌、肝細胞癌、基底細胞癌(一種皮膚癌)、鱗狀上皮細胞癌(不同組織)、膀胱癌、包含移形細胞癌(一種惡性膀胱腫瘤)、支氣管癌、大腸癌、大腸直腸癌、胃癌、肺癌、包括肺的小細胞癌及非小細胞癌、腎上腺皮質癌、甲狀腺癌、胰腺癌、乳癌、卵巢癌、前列腺癌、肺腺癌、汗腺癌、皮脂腺癌、乳突癌、乳突腺癌、囊腺癌、髓質癌、腎細胞癌、乳房腺管原位癌或膽管癌、絨毛膜癌、精原細胞瘤、胚胎性癌、威耳姆氏腫瘤、子宮頸癌、子宮癌、睾丸癌、骨源性癌、上皮細胞癌、及鼻咽癌。Cancers that can be treated by the disclosed methods include, but are not limited to, esophageal cancer, hepatocellular carcinoma, basal cell carcinoma (a type of skin cancer), squamous cell carcinoma (different tissues), bladder cancer, and metastatic cell carcinoma (including A malignant bladder tumor), bronchial carcinoma, colon cancer, colorectal cancer, gastric cancer, lung cancer, small cell carcinoma including lung and non-small cell carcinoma, adrenocortical carcinoma, thyroid cancer, pancreatic cancer, breast cancer, ovarian cancer, prostate cancer, Lung adenocarcinoma, sweat gland cancer, sebaceous gland cancer, mastoid carcinoma, papillary adenocarcinoma, cystadenocarcinoma, medullary carcinoma, renal cell carcinoma, breast ductal carcinoma in situ or cholangiocarcinoma, choriocarcinoma, seminoma, Embryonic cancer, Helm's tumor, cervical cancer, uterine cancer, testicular cancer, bone cancer, epithelial cancer, and nasopharyngeal cancer.

可用於此所揭露方法治療之肉瘤包括,但不限於:纖維肉瘤、黏液肉瘤、脂肉瘤、軟骨肉瘤、脊索瘤、骨原性肉瘤、骨肉瘤、血管肉瘤、內皮肉瘤、淋巴管肉瘤、淋巴管內皮肉瘤、滑液膜瘤、中皮瘤、骨幹骨肉瘤(Ewing’s tumor)、平滑肌肉瘤、橫紋肌肉瘤及其他軟組織肉瘤。Sarcomas that can be treated by the disclosed methods include, but are not limited to, fibrosarcoma, mucinous sarcoma, liposarcoma, chondrosarcoma, chordoma, osteogenic sarcoma, osteosarcoma, angiosarcoma, endothelial sarcoma, lymphangiosarcoma, lymphatic vessels Endothelial sarcoma, synovial membrane, mesothelioma, Ewing's tumor, leiomyosarcoma, rhabdomyosarcoma and other soft tissue sarcomas.

可用於此所揭露方法治療之實體腫瘤包括,但不限於:神經膠質瘤、星狀細胞瘤、神經管胚細胞瘤、顱咽管瘤、室管膜瘤、松果腺瘤、血管母細胞瘤、聽覺神經瘤、寡樹突細胞瘤、腦膜瘤、黑色素瘤、神經胚細胞瘤、及視網膜胚細胞瘤。Solid tumors that can be treated by the disclosed methods include, but are not limited to, glioma, astrocytoma, chorioblastoma, craniopharyngioma, ependymoma, pineal adenoma, hemangioblastoma. , auditory neuroma, oligodendritic cell tumor, meningioma, melanoma, neuroblastoma, and retinoblastoma.

可根據於此所揭露方法治療之其他癌症包括:非典型腦膜瘤(腦)、胰島細胞癌(胰臟)、甲狀腺髓質癌(甲狀腺)、間質瘤(小腸)、肝細胞瘤(肝)、肝母细胞瘤(肝)、透明細胞癌(腎臟)、及縱隔腔神經纖維腫瘤。Other cancers that can be treated according to the disclosed methods include: atypical meningioma (brain), islet cell carcinoma (pancreas), thyroid medullary carcinoma (thyroid), stromal tumor (small intestine), hepatoma (liver) , hepatoblastoma (liver), clear cell carcinoma (kidney), and mediastinal nerve fiber tumors.

可用於此所揭露方法治療之更多之癌症示例包括,但不限於:源於神經外胚層及上皮細胞之癌症。源於神經外胚層之癌症實例包括但不限於:骨幹骨肉瘤、脊髓腫瘤、腦瘤、嬰兒的幕上原始神經外胚層腫瘤、管囊性癌、黏液性小管狀和梭形細胞癌、腎臟腫瘤、縱隔腔腫瘤、神經膠質瘤、神經母細胞瘤、青少年及青壯年之肉瘤。源於上皮細胞之癌症實例包括但不限於:小細胞肺癌、乳癌、水晶體癌、大腸癌、胰臟癌、腎癌、肝癌、卵巢癌、及支氣管上皮組織癌。Examples of more cancers that can be treated by the disclosed methods include, but are not limited to, cancers derived from neuroectoderm and epithelial cells. Examples of cancers derived from neuroectoderm include, but are not limited to, backbone osteosarcoma, spinal cord tumors, brain tumors, supratentorial primitive neuroectodermal tumors of infants, cystic carcinoma, mucinous small tubular and spindle cell carcinoma, renal tumors , mediastinal tumors, gliomas, neuroblastomas, sarcomas of adolescents and young adults. Examples of cancers derived from epithelial cells include, but are not limited to, small cell lung cancer, breast cancer, crystal cancer, colorectal cancer, pancreatic cancer, kidney cancer, liver cancer, ovarian cancer, and bronchial epithelial tissue cancer.

搭配其他癌症療法Paired with other cancer therapies

該抗c-Met抗體之治療性投予,可包括於療程之一部分以投予,其可以、或可不需與其他標準之抗癌療法搭配使用;其中該抗癌療法包括但不限於:免疫療法、化療劑及外科手術(如下述所提及者)。Therapeutic administration of the anti-c-Met antibody can be included in one part of the course of treatment, which may or may not be used in conjunction with other standard anti-cancer therapies; including but not limited to: immunotherapy , chemotherapeutic agents and surgery (as mentioned below).

此外,抗c-Met抗體之治療性投予亦可於該對象經抗癌療法治療後投予,其中該抗癌療法可為,例如,外科手術、放射療法、投予化療劑及其類似物。使用本發明之纖維狀蛋白之癌症療法亦可與免疫療法搭配使用。於其他實例中,該纖維狀蛋白可搭配一個或多個化療劑(如:環磷醯胺、阿黴素、長春新鹼(vincristine)及潑尼松(prednisone)(CHOP)),及/或搭配放射療法及/或搭配外科手術手段(如:外科手術移除腫瘤前、或移除腫瘤後)投予。當該纖維狀蛋白被用於搭配外科手術手段使用時,可於外科手術移除癌細胞前、外科手術移除癌細胞時、或外科手術移除癌細胞後,以投予該纖維狀蛋白,且可以系統性投予方式或於外科手術部位局部投予方式投予。該纖維狀蛋白可獨自或與前述者搭配,以系統性投予(如:藉由非口服方式投予;如:藉由靜脈注射方式投予)、或局部投予(如:於局部腫瘤部位、腫瘤內投予(如於實體腫瘤內、注入淋巴瘤或白血病之相關淋巴結)、投予至供給實體腫瘤之血管等)。Furthermore, therapeutic administration of an anti-c-Met antibody can also be administered after the subject has been treated with an anti-cancer therapy, such as surgery, radiation therapy, administration of a chemotherapeutic agent, and the like. . Cancer therapy using the fibrillar protein of the present invention can also be used in combination with immunotherapy. In other examples, the fibrillar protein can be combined with one or more chemotherapeutic agents (eg, cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP)), and/or Inject with radiation therapy and/or with surgical procedures (eg, before surgical removal of the tumor, or after removal of the tumor). When the fibrillar protein is used in combination with a surgical procedure, the fibrillar protein can be administered before surgical removal of cancer cells, surgical removal of cancer cells, or surgical removal of cancer cells, It can be administered in a systemic manner or in a topical administration at the surgical site. The fibrillar protein may be administered alone or in combination with the foregoing, such as by parenteral administration (eg, by parenteral administration; for example, by intravenous injection), or by topical administration (eg, in a local tumor site). Intratumoral administration (eg, in solid tumors, lymph nodes associated with lymphoma or leukemia), administration to blood vessels supplying solid tumors, etc.).

各種不同之癌症療法皆可與本發明所述之纖維狀蛋白療法搭配使用。該等癌症療法包括外科手術(如:外科手術移除癌組織)、放射療法、骨髓移植、化學療法、生物反應調節劑療法、及前述療法之各種組合。A variety of different cancer therapies can be used in conjunction with the fibrillar therapy described herein. Such cancer therapies include surgery (eg, surgical removal of cancerous tissue), radiation therapy, bone marrow transplantation, chemotherapy, biological response modifier therapy, and various combinations of the foregoing therapies.

放射療法包括,但不限於:X射線或γ射線,其可從外部提供之來源施打,如光束、或藉由植入一小型放射性來源。Radiation therapy includes, but is not limited to, X-rays or gamma rays, which can be applied from an externally supplied source, such as a beam of light, or by implantation of a small source of radioactivity.

化療劑為非胜肽性的(如非蛋白質源的)化合物,可降低癌細胞之增生,以及包含細胞毒性劑及細胞生長抑制劑。化療劑之非限制性實例包括:烷化劑、亞硝基脲、抗代謝藥物、抗腫瘤抗生素、植物(如長春花)生物鹼、及類固醇荷爾蒙。Chemotherapeutic agents are non-peptidic (eg, non-proteinogenic) compounds that reduce the proliferation of cancer cells and include cytotoxic agents and cytostatic agents. Non-limiting examples of chemotherapeutic agents include: alkylating agents, nitrosoureas, antimetabolites, antitumor antibiotics, plant (eg, periwinkle) alkaloids, and steroid hormones.

可用以降低細胞增生的藥劑在該領域習知且廣用。該等藥劑包括烷化劑,像是氮芥子氣、亞硝基脲、次乙亞胺衍生物、烷基磺酸鹽、及三氮烯,包括但不限於:二氯甲基二乙胺、環磷醯胺(CYTOXANTM)、米爾法蘭(左旋溶肉瘤素)、卡幕司他汀(BCNU)、路幕司他汀(CCNU)、司莫司汀(甲基化-CCNU)、鏈脲黴素、氯脲菌素、烏拉莫司汀、氯美星、艾氟醯胺、苯丁酸氮芥、哌泊溴烷、曲他胺、三伸乙基硫代磷醯胺、馬利蘭(Busulfan)、達卡貝、及泰默醯胺。Agents useful for reducing cell proliferation are well known and widely used in the art. The agents include alkylating agents such as nitrogen mustard gas, nitrosourea, ethyleneimine derivatives, alkyl sulfonates, and triazenes including, but not limited to, dichloromethyldiethylamine, rings Amides phosphate (CYTOXAN (TM)), melphalan (melphalan), dolastatin card curtain (BCNU), dolastatin curtain passage (CCNU), semustine (methylation-CCNU), streptozotocin , chlorourea, uraramustine, clopidogrel, effluranium, chlorambucil, piperac bromide, tritamine, tri-ethyl thiophosphonamide, malilan (Busulfan), up to Carbe, and temamine.

抗代謝藥物包括葉酸類似物、嘧啶類似物、嘌呤類似物、及腺苷脫胺酶抑制劑,包括但不限於:阿糖胞苷(CYTOSAR-U)、胞嘧啶阿拉伯糖苷、氟尿嘧啶(5-FU)、氟尿苷(FudR)、6-硫鳥嘌呤、6-巰嘌呤(6-MP)、噴司他汀、5-氟尿嘧啶(5-FU)、甲胺喋呤、10-丙炔基-5,8-雙無氮基葉酸(PDDF,CB3717)、5,8-雙無氮基四氫葉酸(DDATHF)、甲醯四氫葉酸、磷酸氟達賓、分妥斯達汀、及葛希塔賓。Antimetabolites include folic acid analogs, pyrimidine analogs, purine analogs, and adenosine deaminase inhibitors including, but not limited to, cytarabine (CYTOSAR-U), cytosine arabinoside, fluorouracil (5-FU) ), fluorouridine (FudR), 6-thioguanine, 6-巯嘌呤 (6-MP), pentastatin, 5-fluorouracil (5-FU), methotrexate, 10-propynyl-5 , 8-bisazinoyl folate (PDDF, CB3717), 5,8-bis-non-nitrogen tetrahydrofolate (DDATHF), formamidine tetrahydrofolate, fludaben phosphate, dextrosine, and ghita guest.

適用的天然產品及其衍生物(如長春化生物鹼、抗腫瘤抗生素、酵素、淋巴激素、及表鬼臼脂素),包括但不限於:Ara-C、紫杉醇(TAXOL)、歐洲紫杉醇(TAXOTERE)、脫氧肋間型霉素、絲裂黴素-C、L-天冬醯胺酸酶、硫唑嘌呤;布喹那;生物鹼,如長春新鹼、長春鹼、溫諾平、去乙醯長春醯胺等;鬼臼毒素,如依託泊苷、替尼泊苷等;抗生素,如蒽環黴素、鹽酸柔紅黴素(道諾黴素、必多黴素、柔毛黴素)、伊達比星(idarubicin)、阿黴素、蒽環素及嗎啉基衍生物等;吩噁嗪酮雙環肽(如放線菌素;鹼性糖胜肽,如博來黴素;蒽醌糖苷,如普利卡黴素(plicamycin)(光神黴素,mithramycin);二胺基蒽醌,如雙羥蒽醌;氮雜環丙稀幷吡咯并吲哚二酮,如絲裂黴素;巨環免疫抑制物,如環孢靈、FK-506(他克莫司、普樂可復)、雷帕黴素等等,及其類似物。Suitable natural products and their derivatives (such as vinca alkaloids, anti-tumor antibiotics, enzymes, lymphokines, and epipodophyllotoxin), including but not limited to: Ara-C, paclitaxel (TAXOL) ), European paclitaxel (TAXOTERE) ), deoxyribomycin, mitomycin-C, L-aspartate pronase, azathioprine; buquina; alkaloids, such as vincristine, vinblastine, vinorepine, deacetylate Vinorexine, etc.; podophyllotoxin, such as etoposide, teniposide, etc.; antibiotics, such as anthracycline, daunorubicin hydrochloride (danomycin, bidamycin, daunorubicin), Idarubicin, doxorubicin, anthracycline and morpholinyl derivatives; phenoxazinone bicyclic peptides (such as actinomycin; basic glycopeptides such as bleomycin; glucosides, Such as plicamycin (mitomycin, mithramycin); diamino hydrazine, such as bishydroxyindole; aziridine pyrrolopyridinone, such as mitomycin; giant Cyclic immunosuppressive agents, such as cyclosporine, FK-506 (tacrolimus, prograf), rapamycin, and the like, and analogs thereof.

其他抗增生的細胞毒性劑為納維賓、CPT-11、安納退唑、來退唑、凱普西塔賓、瑞羅杉芬、環磷醯胺、伊氟醯胺、及拓羅山芬。Other anti-proliferative cytotoxic agents are nalavidin, CPT-11, amnazole, norxazole, capexitabin, rosastene, cyclophosphamide, ibuprofen, and torofloxacin.

具有抗增生活性之微管影響劑,亦適於使用,包括但不限於:異秋水仙素(NSC 406042)、海利康林B(NSC 609395)、秋水仙素(NSC 757)、秋水仙素衍生物(如NSC 33410)、海兔毒肽10(NSC 376128)、美登素(NSC 153858)、利索新(NSC 332598)、紫杉醇(TAXOL)、TAXOL衍生物、歐洲紫杉醇(TAXOTERE)、硫代秋水仙素(NSC 361792)、三苯甲基半胱胺酸(trityl cysterin)、硫酸長春鹼、硫酸長春新鹼、天然的及合成的埃坡黴素,包括但不限於:埃坡黴素A、埃坡黴素B、地克莫來類;雌莫司汀、諾考達唑及其類似物。Microtubule-influencing agents with anti-proliferative activity are also suitable for use, including but not limited to: isocolchicine (NSC 406042), halikon B (NSC 609395), colchicine (NSC 757), colchicine-derived (eg NSC 33410), Guinea Pig Peptide 10 (NSC 376128), maytansine (NSC 153858), Lissoxin (NSC 332598), paclitaxel (TAXOL) ), TAXOL Derivative, European paclitaxel (TAXOTERE) ), thiocolchicine (NSC 361792), trityl cysterin, vinblastine sulfate, vincristine sulfate, natural and synthetic epothilones, including but not limited to: angstrom Paclomycin A, epothilone B, dexmolole; estramustine, nocodazole and the like.

荷爾蒙調節劑及類固醇(包括合成的類似物)亦可適於使用,包括但不限於:腎上腺皮質類固醇,如潑尼松、帝薩麥塞松等;雌性激素及黃體激素如:己酸羥孕酮、醋酸甲羥孕酮、醋酸甲地孕酮、雌二醇、可羅密芬、他莫西芬等;以及腎上腺皮質抑制物,如胺魯米特;17α-炔雌醇;己烯雌酚、睪酮、氟甲睪酮、丙酸屈他雄酮、睪內酯、甲潑尼龍、甲基睪酮、潑尼松龍、曲安西龍、氯烯雌醚、羥孕酮、胺魯米特、雌莫司汀、醋酸甲羥孕酮、亮丙瑞林、氟他胺(Drogenil)、托瑞米芬(Fareston)、及ZOLADEX。雌性激素可刺激增生及分化,因此可結合至雌性激素受體的化合物可用以阻斷雌性激素之活性。皮質類固醇可用以抑制T細胞之增生。Hormone regulators and steroids (including synthetic analogs) may also be suitable for use, including but not limited to: adrenal corticosteroids, such as prednisone, dimethoprim, etc.; estrogen and progesterone such as: hydroxypregnation Ketone, medroxyprogesterone acetate, megestrol acetate, estradiol, romilifene, tamoxifen, etc.; and adrenal cortical inhibitors, such as amine lutimidin; 17α-ethinylestradiol; diethylstilbestrol, anthrone , fluoromethyl ketone, tacrosterone propionate, azlactone, methylprednisolone, methyl ketone, prednisolone, triamcinolone, ketene estradiol, hydroxyprogesterone, amine ubmet, ermus Tym, medroxyprogesterone acetate, leuprolide, drogenil, faremis, and ZOLADEX . Estrogen can stimulate proliferation and differentiation, so compounds that bind to the estrogen receptor can be used to block the activity of estrogen. Corticosteroids can be used to inhibit proliferation of T cells.

其他化療劑包括金屬錯合物,如順鉑(cis-DDP)、卡鉑等;尿素,如羥基尿素;及肼,如N-甲肼;埃披非洛毒素;拓樸異構酶抑制劑;丙卡巴肼;米托蒽醌;甲醯四氫葉酸;喃氟啶等。其他本發明所欲之抗增生劑包括免疫抑制劑,如黴酚酸、沙立度胺、去氧斯匹胍素、氮雜孢靈、來氟米特、咪唑立賓、螺環烷(SKF 105685);IRESSA(ZD 1839,4-(3-氯-4-氟苯基胺基)-7-甲氧基-6-(3-(4-嗎啉基)丙氧基)喹唑啉))等等。Other chemotherapeutic agents include metal complexes such as cis-DDP, carboplatin, etc.; urea, such as hydroxyurea; and hydrazine, such as N-formamidine; eppylopoxin; topoisomerase inhibitors ; procarbazine; mitoxantrone; formazan tetrahydrofolate; Other anti-proliferative agents of the present invention include immunosuppressive agents such as mycophenolic acid, thalidomide, deoxyspirin, azaporine, leflunomide, imidazoribine, spirocycloalkane (SKF) 105685); IRESSA (ZD 1839, 4-(3-chloro-4-fluorophenylamino)-7-methoxy-6-(3-(4-morpholinyl)propoxy)quinazoline)) and the like.

「紫杉烷類」包括紫杉醇,以及任何具活性的紫杉烷衍生物、或前驅藥物。「紫杉醇」(其於此應被理解包括類似物、配方、及衍生物,像是例如之多烯紫杉醇、紫杉醇(TAXOL)、剋癌易(TAXOTERE)(多烯紫杉醇之配方)、10-脫乙醯-紫杉醇相似物以及3’N-去苯醯基-3’N-t-丁氧羰基紫杉醇相似物可以該領域具有通常技藝者所熟知技術製備。"Taxanes" include paclitaxel, as well as any active taxane derivatives, or prodrugs. "Paclitaxel" (which should be understood herein to include analogs, formulations, and derivatives such as, for example, docetaxel, paclitaxel (TAXOL), TAXOTERE (polytaxol), 10-off The acetamidine-paclitaxel analogs as well as the 3'N-desphenylhydrazin-3'Nt-butoxycarbonyl paclitaxel analogs can be prepared in the art by techniques well known to those skilled in the art.

紫杉醇應被理解為,不僅為常見化學可得之紫杉醇形式,亦包含其類似物及衍生物(如上所記載之TAXOTERETM多烯紫杉醇),以及紫杉醇共軛物(如:紫杉醇-PEG、紫杉醇-葡萄聚糖、或紫杉醇-木糖)。Paclitaxel is understood to be not only a common chemically available form of paclitaxel, but also analogs and derivatives thereof (TAXOTERETM docetaxel as described above), as well as paclitaxel conjugates (eg paclitaxel-PEG, paclitaxel-grape) Glycan, or paclitaxel-xylose).

根據本發明之方法於治療部分病患時,需要使用高劑量療法並搭配一供非惡性細胞之救援劑。於該等療法中,任何可用以救援非惡性細胞之藥劑皆可被應用,像是噬橙菌(Citrovorum)因子、葉酸衍生物、或白葉酸(leucovorin)。該等救援劑皆為該領域具有通常技藝者所習知者。救援劑包括該等不會影響本發明化合物用以調節細胞功能之救援劑。In the treatment of a part of patients according to the method of the present invention, it is necessary to use a high dose therapy and a rescue agent for non-malignant cells. In such therapies, any agent that can be used to rescue non-malignant cells can be used, such as Citrovorum factor, folate derivative, or leucovorin. Such rescue agents are well known to those of ordinary skill in the art. Rescue agents include such rescue agents that do not interfere with the compounds of the invention to modulate cellular function.

投予的路徑Route of investment

該抗c-Met抗體之投予方式,可藉由各種不同方式以送至身體不同部分,包括瘤內、靜脈、皮內、皮下、口服(如:吸入)、經皮的(如:局部)、經黏膜的、腹腔的、動脈內的、及直腸的投予。其他適用之路徑包括口服、面頰給藥、鼻腔給藥、鼻咽給藥、非口服的、,經腸的、經胃的、局部的、經皮吸收的、皮下注射的、肌肉注射的、以片劑、固態、粉狀、液態、霧狀進行病灶內注射以注入該腫瘤、或病灶內注射至該腫瘤附近、靜脈輸液、及動脈灌注,以投予該組合物。投予方式可為局部或系統性投予,且可添加或不添加賦形劑。投予也可透過在病患的腫瘤部位上或附近緩慢釋出而完成。The anti-c-Met antibody can be administered to different parts of the body by various means, including intratumor, intravenous, intradermal, subcutaneous, oral (eg, inhalation), transdermal (eg, topical). , transmucosal, intraperitoneal, intra-arterial, and rectal administration. Other suitable routes include oral, buccal, nasal, nasopharyngeal, parenteral, enteral, transgastric, topical, transdermal, subcutaneous, intramuscular, The composition is administered by intralesional injection into a tumor, solid, powder, liquid, or mist to inject the tumor, or to inject into the tumor, intravenous infusion, and arterial infusion. The mode of administration can be topical or systemic, with or without the addition of excipients. Administration can also be accomplished by slow release on or near the tumor site of the patient.

該領域具有通常技藝者將明白,有各種不同適於投予本發明配方之方法,可用於投予病患或宿主,如:有需要之病患,以及雖然有多於一種以上的路徑可用來投予一特定配方,但相較於另一種路徑,仍有特定之投遞路徑可使之更立即且更有效用。It will be apparent to those of ordinary skill in the art that a variety of different methods suitable for administering the formulations of the present invention can be used to administer a patient or host, such as a patient in need thereof, and although more than one path can be used A particular recipe is cast, but there is still a specific delivery path that makes it more immediate and more efficient than another path.

「治療有效量」乙詞係指應用於醫療時,於合理的利益/風險比例下,可產生所欲之效用的量。依據不同因子,如:治療之疾病或情況、特定標的物之投予、病患之大小、或疾病或狀況的嚴重性,該有效量亦有所不同。該領域具有通常技藝者可依經驗,且不需經過度試驗,即可決定該特定化合物之有效量。The term "therapeutically effective amount" refers to the amount of effect that can be exerted at a reasonable benefit/risk ratio when applied to medical treatment. The effective amount will vary depending on factors such as the disease or condition being treated, the administration of the particular subject, the size of the patient, or the severity of the disease or condition. An effective amount of the particular compound can be determined by one of ordinary skill in the art based on experience and without the need for degree testing.

根據示例性實例,該蛋白可作為組合物的一部份來投予,此點將會於下文更詳細之說明。該組合物可為不同形式,包括粉狀、乳狀、膠狀、油膏狀、軟膏狀、溶液狀、片劑、囊劑、噴劑及貼片。載體及載劑可用以遞送該組合物予病患。該等載劑包括可溶劑、稀釋劑及分散劑。該載劑為生物相容性的、醫藥上可接受的、且不會改變該纖維狀蛋白之治療特性者。賦形劑、佐劑及其他成分亦可被包括於該組合物中。According to an illustrative example, the protein can be administered as part of a composition, as will be explained in more detail below. The compositions may be in various forms, including powders, milks, gels, ointments, ointments, solutions, tablets, sachets, sprays, and patches. The carrier and carrier can be used to deliver the composition to a patient. The carriers include solvent, diluent and dispersant. The carrier is biocompatible, pharmaceutically acceptable, and does not alter the therapeutic properties of the fibrillar protein. Excipients, adjuvants and other ingredients may also be included in the composition.

劑量dose

於該方法中,一有效量之抗c-Met抗體被投予有需要之病患。所投予之劑量,依據欲投予之目的、受治療之個體的健康及生理狀況、受治療個體的年齡、類別(如:人類、非人類靈長類、靈長類等)、欲解決之程度、抗c-Met抗體組合物之配方、臨床醫師對於醫療狀況的評估、及其他相關因子,會有所不同。可預期的是該有效量將十分寬廣,係可透過常規試驗決定。例如,用以抑制癌轉移的抗c-Met抗體之有效量,不可多於其對於病患造成不可逆毒性之量(如:最高忍受劑量)。於其他例子中,該有效量約為或幾乎略低於毒性之極限的量,但仍具免疫有效性的濃度範圍,或與極限劑量一樣低。In this method, an effective amount of an anti-c-Met antibody is administered to a patient in need thereof. The dose to be administered depends on the intended purpose, the health and physiological condition of the individual being treated, the age and type of the individual being treated (eg, human, non-human primate, primate, etc.) The degree, formulation of the anti-c-Met antibody composition, the clinician's assessment of the medical condition, and other relevant factors will vary. It is expected that the effective amount will be very broad and can be determined by routine experimentation. For example, an effective amount of an anti-c-Met antibody to inhibit cancer metastasis cannot be more than an amount that causes irreversible toxicity to a patient (eg, a maximum tolerated dose). In other instances, the effective amount is about or nearly slightly below the limit of toxicity, but is still immunologically effective, or as low as the limit dose.

個體劑量通常不會低於,可使病患產生可測量之效用,的用量,且該劑量可依據抗c-Met抗體之副產物的藥物動力學及吸收、分佈、代謝及排出(ADME)之藥理學,以及依據於病患體內該組合物之配置,來決定。此包括投予路徑及劑量之考量,該劑量可被調整以供局部應用(當所欲者主要為局部效用,則可直接應用該處)、經腸的應用(當其於消化道之部分時,可藉由消化道以供系統性或局部性效用)、非經口的應用(藉由非消化道路徑以提供系統性或局部效用)。例如,抗c-Met抗體之投予方式典型地可藉由注射,以及常為靜脈內、肌肉內、瘤內、或其結合。The individual dose is usually not lower than the amount that allows the patient to produce a measurable effect, and the dose can be based on the pharmacokinetics and absorption, distribution, metabolism, and excretion (ADME) of by-products of the anti-c-Met antibody. Pharmacology, and depending on the configuration of the composition in the patient, is determined. This includes consideration of the route of administration and dosage, which can be adjusted for topical application (where it is intended for topical utility, where it can be applied directly), and enteral application (when it is part of the digestive tract) , through the digestive tract for systemic or local utility), non-orbital applications (by non-digestive pathways to provide systemic or local utility). For example, administration of an anti-c-Met antibody can typically be by injection, and often intravenous, intramuscular, intratumor, or a combination thereof.

該抗c-Met抗體可藉由注入或局部注射投予,例如,係以約50 mg/h至約400 mg/h之速率注入,亦包括約75 mg/h至約375 mg/h、約100 mg/h至約350 mg/h、約150 mg/h至約350 mg/h、約200 mg/h至約300 mg/h、約225 mg/h至約275 mg/h。示例性注入速度可用以達到所欲之治療劑量,例如,約0.5 mg/m2/日至約10 mg/m2/日、包括約1 mg/m2/日至約9 mg/m2/日、約2 mg/m2/日至約8 mg/m2/日、約3 mg/m2/日至約7 mg/m2/日、約4 mg/m2/日至約6 mg/m2/日、約4.5 mg/m2/日至約5.5 mg/m2/日。可於所欲週期內重複投予(如:注入),如:約1天至5天週期、或每隔數天(如:5天、超過約1個月、約2個月等)之週期重複投予。其亦可於其他療程前、療程時、療程後(像是外科手術以移除癌細胞)投予。該抗c-Met抗體亦可做為組合療法之一部份投予,其中以免疫療法、癌症化療、或放射療法中至少一者,投予病患(於下文會有更詳細之說明)。The anti-c-Met antibody can be administered by injection or local injection, for example, at a rate of from about 50 mg/h to about 400 mg/h, and also includes from about 75 mg/h to about 375 mg/h. From 100 mg/h to about 350 mg/h, from about 150 mg/h to about 350 mg/h, from about 200 mg/h to about 300 mg/h, from about 225 mg/h to about 275 mg/h. Exemplary injection rates can be used to achieve a desired therapeutic dose, for example, from about 0.5 mg/m 2 /day to about 10 mg/m 2 /day, including from about 1 mg/m 2 /day to about 9 mg/m 2 / Day, about 2 mg/m 2 /day to about 8 mg/m 2 /day, about 3 mg/m 2 /day to about 7 mg/m 2 /day, about 4 mg/m 2 /day to about 6 mg /m 2 /day, about 4.5 mg/m 2 /day to about 5.5 mg/m 2 /day. Repeated administration (eg, injection) in a desired cycle, such as a period of about 1 day to 5 days, or every few days (eg, 5 days, more than about 1 month, about 2 months, etc.) Repeated administration. It can also be administered before, during, and after other treatments (such as surgery to remove cancer cells). The anti-c-Met antibody can also be administered as part of a combination therapy wherein at least one of immunotherapy, cancer chemotherapy, or radiation therapy is administered to the patient (described in more detail below).

於病患體內之抗c-Met抗體之分佈及其對應之生物活性,典型地可藉由出現於感興趣之標的上的抗c-Met抗體之片段來辨識衡量。例如,當投予抗c-Met抗體後,該抗體可與糖複合物、或其他生物標的一起被累積,並於癌細胞及癌組織中濃縮該物質。因此,當抗c-Met抗體被投予後,以致於一段時間後於所欲標的內累積,此將可做為給藥方案的一部份,以供使用較低的個體劑量。此舉亦意旨,例如,由於該抗c-Met抗體之劑量於活體內被清除的較為緩慢,故該抗體之濃度,可較活體外試驗所計算之有效濃度為低(如:活體外之有效量約為mM濃度,而活體內之濃度則低於mM濃度)。The distribution of anti-c-Met antibodies in a patient and their corresponding biological activity can typically be measured by a fragment of an anti-c-Met antibody present on the subject of interest. For example, when an anti-c-Met antibody is administered, the antibody can be accumulated together with a glycoconjugate or other biological target, and the substance is concentrated in cancer cells and cancer tissues. Thus, when an anti-c-Met antibody is administered, such that it accumulates within the desired amount over a period of time, this will be part of the dosing regimen for lower individual dosages. This also means that, for example, since the dose of the anti-c-Met antibody is cleared in vivo, the concentration of the antibody can be lower than the effective concentration calculated in the in vitro test (eg, effective in vitro). The amount is about mM, while the concentration in vivo is lower than mM).

做為一實例,劑量或給藥方案之有效量,可藉由所給予之抗c-Met抗體用以抑制細胞移動的IC50來衡量。「IC50」意旨活體外用以達到50%抑制率的藥物濃度。或者,該有效量可藉由所給予之抗c-Met抗體濃度的EC50來衡量。「EC50」意旨於活體內用以達到50%最大效用的血液濃度。於相關具體實施例中,劑量亦可基於ED50(有效劑量)決定。As an example, an effective dose or amount of program administration, by an anti-c-Met antibody administered for inhibition of cell migration measured by IC 50. "IC 50 " means a drug concentration that is used in vitro to achieve a 50% inhibition rate. Alternatively, the effective amount of antibody concentration by an anti-c-Met EC 50 of given measured. "EC 50 " is intended to be used in vivo to achieve a blood concentration of 50% of maximum utility. In related embodiments, the dosage may decide based on the ED 50 (effective dose).

大抵而言,本發明之抗c-Met抗體,其有效量通常不會超過所計算之IC50 200X。典型地,投予抗c-Met抗體之量係低於所計算之IC50約200X、低約150X、低約100X,以及於許多具體實施例中,低約75X、低約60X、50X、45X、40X、35X、30X、25X、20X、15X、10X,以及更低於所計算之IC50約8X或2X。於一具體實施例中,該有效量約為所計算之IC50之1X至50X、以及有時約為所計算之IC50 2X至40X、約3X至30X、或4X至20X。於其他具體實施例中,該有效量係與計算之IC50相同,以及於某些具體實施例中,該有效量係高於所計算之IC50之量。In general, the effective amount of the anti-c-Met antibody of the present invention generally does not exceed the calculated IC 50 200X. Typically, the amount of administered anti-c-Met antibodies based on the calculated sum is lower than the IC 50 of about 200X, 150X lower by about, about IOOX low, and in many embodiments, the low of about 75X, a low of about 60X, 50X, 45X 40X, 35X, 30X, 25X, 20X, 15X, 10X, and even less than the calculated IC 50 of about 8X or 2X. In one specific embodiment, the effective amount is calculated as the IC 50 of 1X to 50X, and the calculated IC sometimes about 50 2X to 40X, 30X to about 3X, or 4X to 20X. In other embodiments, the effective amount of the same system of calculation of IC 50, and in certain embodiments, the amount of calculation of the IC 50 of the effective amount of the above system.

一有效量可能不會超過所計算之EC50 100X。例如,抗c-Met抗體係以低於所計算之EC50約100X、低於約50X、低於約40X、35X、30X、或25X、以及於許多具體實施例中低約20X、低約15X、及更低於所計算之EC50約10X、9X、8X、7X、6X、5X、4X、3X、2X、或1X之量被投予。該有效量約為所計算之EC50之1X至30X,有時候約為1X至20X、或約為1X至10X。該有效量亦可與所計算之EC50相同或高於所計算之EC50。該EC50可藉由活體外之細胞移動/浸潤之抑制率計算。其步驟可藉由該領域所熟知之方法,或以下實施例所述之方法施行。An effective amount may not exceed the calculated EC 50 100X. For example, an anti-c-Met antibody is to EC 50 of less than about IOOX calculated, less than about 50X, less than about 40X, 35X, 30X, or 25X, and in many embodiments about 2OX low, a low of about 15X And an amount of about 10X, 9X, 8X, 7X, 6X, 5X, 4X, 3X, 2X, or 1X which is lower than the calculated EC 50 is administered. The effective amount is about 1X to 30X of the calculated EC 50 , sometimes about 1X to 20X, or about 1X to 10X. It may be the same or higher than the EC 50 calculated with the effective amount of the calculated EC 50. The EC 50 can be moved by the cell in vitro / inhibition rate of infiltration is calculated. The steps can be carried out by methods well known in the art or as described in the examples below.

劑量及/或給藥方案之有效量可藉由來自試驗、來自安全、大規模、及劑量範圍試驗、個別的醫生病患關係、以及活體外及活體內試驗,來依經驗決定。The effective amount of the dosage and/or dosage regimen can be determined empirically by trial, from safe, large scale, and dose range trials, individual physician patient relationships, and in vitro and in vivo assays.

診斷方法diagnosis method

本發明提供於病患之生物樣本中、或分離自病患之樣本中,以偵測c-Met(如全長或片段)之方法。該方法對於於診斷及預後之目的皆十分有助益。所述方法一般牽涉到將含有細胞之樣本與本發明之抗體接觸;以及偵測樣本內抗體結合至細胞的狀況。該細胞可為活體外的,係指當該細胞係存在於來自疑似具有癌細胞的患者、正進行癌症治療之患者、或用以測試對於治療之感受性的患者之生物樣本中。該細胞可為活體內的,係指例如該細胞係存在於疑似具有癌細胞的患者、正進行癌症治療之患者、或用以測試對於治療之感受性之患者的個體中。The invention provides methods for detecting c-Met (e.g., full length or fragment) in a biological sample of a patient, or in a sample isolated from a patient. This method is very helpful for the purposes of diagnosis and prognosis. The method generally involves contacting a sample containing the cells with an antibody of the invention; and detecting the condition of binding of the antibody to the cells within the sample. The cell may be in vitro, meaning that the cell line is present in a biological sample from a patient suspected of having cancer cells, a patient undergoing cancer treatment, or a patient to test for susceptibility to treatment. The cell may be in vivo, for example, the cell line is present in a patient suspected of having cancer cells, a patient undergoing cancer treatment, or an individual for testing a patient susceptible to treatment.

抗體係可於生物樣本中,藉由免疫診斷技術,以偵測會表現c-Met之細胞,該生物樣本係源自一具有或疑似具有癌細胞之個體。該等診斷方式(會於下文詳述)對於判別可進行治療之病患,及/或監控對於治療之反應有很大的助益。The anti-system can be used in biological samples to detect cells that express c-Met by immunodiagnostic techniques derived from an individual with or suspected of having cancer cells. These diagnostic methods (described in more detail below) are useful for identifying patients who can be treated and/or monitoring the response to treatment.

適用的免疫診斷技術包括,但不必限於,活體外及活體內(影像化)方法。例如,抗c-Met抗體可用可被偵測的標籤,將之標籤化後,以投予一疑似具有癌症之個體(其特徵為c-Met之細胞表面表現),並以該領域可得之影像化方法,偵測該可被偵測之標籤化抗體的結合情況。Suitable immunodiagnostic techniques include, but are not necessarily limited to, in vitro and in vivo (imaging) methods. For example, an anti-c-Met antibody can be labeled with a detectable label to administer a suspected cancer-bearing individual (characterized by cell surface expression of c-Met) and available in the field. An imaging method that detects the binding of the labeled antibody that can be detected.

在此處所使用之「活體內影像化」乙詞,係指可於全身的、活的哺乳動物中,偵測抗體(如被可偵測標籤所標記之選殖株21)存在的方法。光學可視之可偵測蛋白,像是螢光抗體、及螢光酵素共軛連結之抗體,即可於活體內影像化方式偵測到。於活的動物中之螢光蛋白活體內影像化,已被描述於,如:Hoffman,Cell Death and Differentiation 2002,9:786-789。活體內影像化亦可能提供2維及3維之哺乳動物的影像。電荷耦合裝置相機、CMOS、或3D斷層影像,皆可用於施行活體內影像化。例如,Burdette JE Journal of Mol. Endocrin.,40: 253-261,2008,提及利用電腦斷層掃描、磁共振攝影、超音波成像、正子斷層造影、單光子放射電腦斷層掃描(SPECT)等。藉由上述許多之活體內影像化方法所得到之資訊,可用以得知病患體內癌細胞之資訊。As used herein, the term "in vivo imaging" refers to a method for detecting the presence of an antibody (such as a selected strain 21 labeled by a detectable label) in a whole body or living mammal. Optically detectable proteins, such as fluorescent antibodies, and fluorescently conjugated antibodies, can be visualized in vivo. In vivo visualization of fluorescent proteins in living animals has been described, for example, in Hoffman, Cell Death and Differentiation 2002, 9:786-789. In vivo imaging may also provide images of 2D and 3D mammals. Charge-coupled device cameras, CMOS, or 3D tomographic images can be used for in vivo imaging. For example, Burdette JE Journal of Mol. Endocrin ., 40: 253-261, 2008, mentions the use of computed tomography, magnetic resonance imaging, ultrasound imaging, positron tomography, single photon emission computed tomography (SPECT) and the like. The information obtained by the above-mentioned many in vivo imaging methods can be used to know the information of cancer cells in patients.

當該方法為活體外的,該生物樣本可為可能含有癌細胞之各種樣本,包括但不限於血液樣本(包括全血、血清等)、組織、全細胞(如:完整的細胞)、以及組織或細胞萃取物。例如,該試驗方法可用以偵測位於活細胞上、或於組織樣本中細胞之c-Met。When the method is in vitro, the biological sample can be a variety of samples that may contain cancer cells, including but not limited to blood samples (including whole blood, serum, etc.), tissues, whole cells (eg, intact cells), and tissues. Or cell extracts. For example, the test method can be used to detect c-Met located on a living cell or in a tissue sample.

特別的是,偵測可於活細胞之細胞外表面進行。例如,該組織樣本可為固定的(如被甲醛處理過的),以及可能被包埋於一支撐物中(如:石蠟)、或冷凍非固定的組織。In particular, detection can be performed on the outer surface of the living cells. For example, the tissue sample can be fixed (eg, treated with formaldehyde), and may be embedded in a support (eg, paraffin), or frozen non-fixed tissue.

試驗可以各種不同之形式實行,如競爭型、直接反應、或三明治型試驗。該等試驗之實例包括,西方墨點法、凝集試驗;酵素標記的及媒介的免疫試驗,如酵素連接的免疫吸附試驗(enzyme-linked immunosorbent assays,ELISAs);生物素/卵白素類型試驗;放射免疫分析法;免疫電泳法;免疫沈澱法及其類似物。該反應一般包括將可偵測標籤共軛連結至抗體上。標籤包括該等為螢光的、化學發光的、放射性的、酵素的及/或染劑分子、或其他可用以偵測樣本中抗原及抗體間、或相關反應的抗體,所形成的錯合物的方法。The test can be carried out in a variety of different forms, such as competitive, direct reaction, or sandwich type testing. Examples of such assays include Western blotting, agglutination assays; enzyme-labeled and vehicle immunoassays, such as enzyme-linked immunosorbent assays (ELISAs); biotin/glycoprotein type assays; Immunoassay; immunoelectrophoresis; immunoprecipitation and its analogs. The reaction generally involves conjugating a detectable tag to the antibody. Labels include such fluorescent, chemiluminescent, radioactive, enzymatic and/or dye molecules, or other antibodies that can be used to detect antigens and antibodies in a sample, or related reactions. Methods.

當一實體支撐物被使用時,該實體支撐物通常會於適用之結合條件下,先與一固相成分反應,以供該抗體可充分地固化於該支撐物上。有時候,可先藉由將抗體耦合至一個具有較佳結合特性之蛋白上,以增強其於支撐物上之固化作用;或可使抗體固化於支撐物時,不會有明顯地損失抗體的結合活性或專一性。適用的耦合蛋白包括,但不限於:巨分子像是血清白蛋白,包括牛血清白蛋白(bovine serum albumin,BSA)、鑰孔蟲戚血藍蛋白(keyhole limpet hemocyanin)、免疫球蛋白分子、甲狀腺球蛋白、卵白蛋白、及該領域具有通常技藝者所習知之其他蛋白。其他可用來將抗體結合至支撐物之分子包括,多糖、聚乳酸、聚乙醇酸、聚胺基酸、胺基酸共聚物及其類似物,但條件是用於固化抗體之分子不會影響抗體對抗原之專一性結合能力。該等分子及用於將該等分子耦合至抗體上的方法,皆為該領域具有通常技藝者所熟知。When a solid support is used, the solid support will typically react with a solid phase component under suitable binding conditions for the antibody to be sufficiently cured on the support. Occasionally, the antibody may be first bound to a protein having a preferred binding property to enhance its curing on the support; or the antibody may be cured on the support without significant loss of the antibody. Binding activity or specificity. Suitable coupling proteins include, but are not limited to, macromolecules such as serum albumin, including bovine serum albumin (BSA), keyhole limpet hemocyanin, immunoglobulin molecules, thyroid gland Globulin, ovalbumin, and other proteins known to those of ordinary skill in the art. Other molecules that can be used to bind antibodies to the support include polysaccharides, polylactic acids, polyglycolic acids, polyamino acids, amino acid copolymers, and the like, provided that the molecules used to cure the antibody do not affect the antibody. Specific binding ability to antigen. Such molecules and methods for coupling such molecules to antibodies are well known to those of ordinary skill in the art.

一種ELISA方法可被使用,其之微孔盤(microtiter plate)之孔中係被所述抗體所包覆。將含有或疑似含有c-Met之生物樣本,加入該包覆之孔中。經培養一段足以讓抗體結合的時間後,將該盤洗滌,以移除未結合之分子,再加入可被偵測之標籤化的二級結合分子。該二級結合分子可與任何被捕獲的抗原進行反應,洗滌該盤,並且使用該領域習知方法以偵測該二級結合分子之出現與否。An ELISA method can be used in which the pores of the microtiter plate are coated with the antibody. A biological sample containing or suspected of containing c-Met is added to the coated pores. After incubation for a period of time sufficient for antibody binding, the plate is washed to remove unbound molecules and the labeled secondary binding molecules that can be detected are added. The secondary binding molecule can react with any captured antigen, wash the disk, and use conventional methods in the art to detect the presence or absence of the secondary binding molecule.

若想要知道本發明抗體與生物樣本之c-Met之結合是否存在,可藉由使用一種二級結合子(binder)偵測,該二級結合子包含一抗體,其可直接結合至該抗體受體。例如,該領域習知之眾多的抗牛的免疫球蛋白(Ig)分子,可藉由該領域具有通常技藝者所熟知之方法,以與一可被偵測之酵素標籤共軛結合,如,辣根過氧化酶、鹼性磷酸酶、或尿素酶。接著以一適當的酵素受質以生成一可被偵測之訊號。於其他相關具體實施例中,可使用該領域習知方法以實行競爭型ELISA技術。If it is desired to know whether the binding of the antibody of the present invention to the c-Met of the biological sample is detected, it can be detected by using a secondary binder comprising an antibody which can directly bind to the antibody. Receptor. For example, a wide variety of anti-bovine immunoglobulin (Ig) molecules known in the art can be conjugated to a detectable enzyme tag by methods well known in the art, such as spicy Root peroxidase, alkaline phosphatase, or urease. A suitable enzyme is then applied to generate a detectable signal. In other related embodiments, conventional methods in the art can be used to implement competitive ELISA techniques.

此試驗方式亦可於溶液中實行,即於沈澱環境中,使該抗體與抗原形成錯合物。一種抗體包覆的粒子,於適當的結合環境中,可與疑似含有目標抗原之生物樣本接觸,以形成粒子-抗體-抗原錯合聚集物,使用沖洗及/或離心,可使該錯合聚集物沈澱且自樣本中分離出來。該反應混合物可藉由任何標準方法進行分析,進而判定抗體-抗原錯合物是否出現;該等標準方法即如該等前述之免疫診斷方法。This assay can also be carried out in solution, ie, in a precipitating environment, the antibody forms a complex with the antigen. An antibody-coated particle that, in a suitable binding environment, can be contacted with a biological sample suspected of containing the antigen of interest to form a particle-antibody-antigen-mismatched aggregate, which can be agglomerated using rinsing and/or centrifugation. The material precipitated and separated from the sample. The reaction mixture can be analyzed by any standard method to determine whether an antibody-antigen complex is present; such standard methods are as described above for immunodiagnostic methods.

或者,可用其他診斷技術,以分析活細胞內的細胞吸收情形,以正確的辨識出癌細胞。既然所述之抗體會被表現c-Met細胞所專一地內化,則該細胞可用以內化該抗體,且其他不會被內化之抗體將被洗滌出(如:酸洗)。該內化後的抗體,可藉由其標籤於細胞內而被偵測(如:FACS、光譜儀、放射性同位素計數器等)。Alternatively, other diagnostic techniques can be used to analyze cellular uptake in living cells to correctly identify cancer cells. Since the antibody is specifically internalized by the c-Met cell, the cell can be used to internalize the antibody, and other antibodies that are not internalized will be washed out (eg, pickled). The internalized antibody can be detected by labeling it in a cell (eg, FACS, spectrometer, radioisotope counter, etc.).

於此所述之診斷分析可用來判定病患是否具有癌症,以及其是否需要更多或更少之以抗體為基礎的治療,以及用以監控病患治療之進展。其亦可被用於分析其他結合療法之過程。因此,該診斷方式可供醫者得知如何選擇療法,以及療程。The diagnostic assays described herein can be used to determine if a patient has cancer and whether it requires more or less antibody-based treatment and to monitor the progress of the patient's treatment. It can also be used to analyze the process of other combination therapies. Therefore, the diagnostic method allows the physician to know how to choose the therapy, as well as the course of treatment.

該等前述之試驗藥劑,以及包括本發明之抗體,皆可提供於套組中,伴隨適用之說明,以及其他必須之藥劑,以執行前述之免疫分析法。該套組亦可含有,根據所使用之特定免疫分析法,適當的標籤及其他附上之藥劑及材料(如:洗滌緩衝液及其類似物)。標準的免疫分析法,如該等前述者,可使用該等套組實行。The aforementioned test agents, as well as the antibodies comprising the invention, can be provided in kits, with applicable instructions, and other necessary agents to perform the aforementioned immunoassays. The kit may also contain appropriate labels and other attached agents and materials (eg, wash buffers and the like) depending on the particular immunoassay used. Standard immunoassays, such as those described above, can be performed using such kits.

套組及系統Sets and systems

本發明亦提供套組及系統,其可用以實行該等前述方法。例如,該等套組及系統可包括一個或多個於此所述之組合物,像是抗c-Met抗體(如:選殖株20或選殖株21)、編碼該抗體之核酸(尤其是編碼任何前述抗體之重鏈及/或輕鏈之CDR的核酸)、或含有該等抗體或核酸之細胞。該套組中其他可選擇的成分包括:緩衝液等,以供投予所述抗體,及/或以供實行一診斷試驗。套組中之重組的核酸亦可具有限制酶切位、多克隆位點(multiple cloning site)、引子位置等,以便於將之與核酸之恆定區接合。該套組之不同成分,可能於分開的容器中呈現,或某些可相容之成分可能會預先混合於一單一容器中(如需要的話)。The present invention also provides kits and systems that can be used to carry out the foregoing methods. For example, such kits and systems can include one or more of the compositions described herein, such as an anti-c-Met antibody (eg, a selection strain 20 or a selection strain 21), a nucleic acid encoding the antibody (especially A nucleic acid encoding a CDR of a heavy chain and/or a light chain of any of the foregoing antibodies, or a cell containing the antibody or nucleic acid. Other optional components of the kit include: a buffer or the like for administration of the antibody, and/or for performing a diagnostic test. The recombinant nucleic acid in the kit may also have a restriction cleavage site, a multiple cloning site, a primer position, etc., to facilitate ligation to the constant region of the nucleic acid. The different components of the kit may be presented in separate containers, or some compatible ingredients may be pre-mixed in a single container (if needed).

用以實行該等方法之套組及系統可包括一個或多個醫藥配方,其包括於此所述之抗體組合物。如:該等套組可包括以一單位或多單位劑量存在之單一醫藥組合物。該套組亦可包括兩個或多個分開的醫藥組合物。Kits and systems for performing such methods can include one or more pharmaceutical formulations comprising the antibody compositions described herein. For example, the kits can include a single pharmaceutical composition in one or more unit doses. The kit can also include two or more separate pharmaceutical compositions.

除了上述成分外,該套組亦可進一步包括說明以實行該等方法。該等說明可於該套組中,以不同之形式存在,且可以一種或多種形式存在該套組內、或存在於該套組上。其中一種說明之形式可為將列印之資訊附於一適用介質或受質上,如:一張或許多張紙,上面印有資訊、於套組之包裝內或包裝上、於包裝說明書中等。或其他方式可為一電腦可讀取媒體,如:軟碟、CD等,將所需之資訊記錄於該媒體上。或其他方式可為一網址,其可經由網路以得知位於遠端之資訊。任何便利之方式皆可於套組中呈現。In addition to the above ingredients, the kit may further include instructions to perform such methods. The instructions may be present in the kit in different forms and may be present in one or more of the kits or on the kit. One of the descriptions may be in the form of attaching the printed information to a suitable medium or substrate, such as: one or more sheets of paper with information printed on the package or on the package, in the package insert. . Or other means can be a computer readable medium, such as a floppy disk, a CD, etc., and the required information is recorded on the medium. Or other means may be a web address, which can be used to know the information located at the far end via the network. Any convenient way can be presented in the kit.

本發明提供一套組可用以治療患有細胞性增生疾病之宿主。該套組包括一醫藥組合物,其含有對c-Met專一性之抗體、以及一說明書,其可用以說明使用該醫藥組合物之有效使用方式,以治療患有癌症之宿主,以抑制該病患體內之癌細胞的生長。該等說明包括不僅是適當的操作特性、劑量療程、及投予方法及其類似物,亦可進一步包括說明如何可選擇地篩選出患有與c-Met相關疾病之病患。此觀點可有助於使用該套組之使用者,評估以本發明之抗體治療時,病患可能的反應性,包括與癌症之類型及發展階段相關之治療時間及治療持續時間。因此,於其他的具體實施例中,該套組可進一步包括一抗體或其他藥劑,用以偵測癌細胞之細胞外可觸及之表面上的c-Met抗原決定基。於另一具體實施例中,該套組包括抗體,該抗體含有一共軛連結之可偵測的標籤,像是螢光團。The invention provides a kit for treating a host having a cell proliferative disorder. The kit includes a pharmaceutical composition comprising an antibody specific for c-Met, and a specification which can be used to illustrate the effective use of the pharmaceutical composition for treating a host having cancer to inhibit the disease The growth of cancer cells in the body. Such instructions include not only appropriate operational characteristics, dosing regimens, and methods of administration and the like, but may further include instructions on how to selectively screen for patients with diseases associated with c-Met. This view may facilitate the use of the user of the kit to assess the likely reactivity of the patient when treated with the antibody of the invention, including the duration of treatment and duration of treatment associated with the type and stage of development of the cancer. Thus, in other embodiments, the kit may further comprise an antibody or other agent for detecting the c-Met epitope on the extracellularly accessible surface of the cancer cell. In another embodiment, the kit comprises an antibody comprising a conjugated detectable tag, such as a fluorophore.

在此所使用之「系統」乙詞,係指於此所述之抗體,以及一個或多個第二治療劑的集合,存在於單一或不同的組合物中,其被一起使用以達到實行該等方法之目的。例如,根據本發明,將分別取得之對c-Met專一性的抗體,與化療劑形放在一起,且於病患中一同使用,即為系統。As used herein, the term "system" refers to an antibody as described herein, and a collection of one or more second therapeutic agents, which are present in a single or different composition, which are used together to effect the practice. The purpose of the method. For example, according to the present invention, a separately obtained antibody specific for c-Met, which is placed together with a chemotherapeutic agent, and used together in a patient, is a system.

下述所提供之實例,係提供該領域具有通常技藝者,一完整的揭露及說明,以使其明白如何製備及使用本發明,但非意欲用以限制本發明所考量之範圍。The following examples are provided to provide a general disclosure of the present invention, and are intended to be illustrative of the invention, and are not intended to limit the scope of the invention.

實驗方法experimental method

細胞株及培養Cell line and culture

PC3(前列腺癌)、人類肺癌細胞株包括H1993、H460、H441、A549及CL1-5,其可於含有5% CO2濕度的環境中,在37℃於含有10% FBS(Invitrogen)的RPMI 1640中生長。SAS(口腔癌)、HCT116(大腸癌)、Mahlavu(肝癌)、NPC-TW04(鼻咽癌)(Lee et al.(2004) Cancer Res 64:8002-8008)、PaCa(胰臟癌)、U2OS(骨肉瘤)及293T係可於含有10% FBS之DMEM上生長。A498(腎臟惡性腫瘤)可於MEM上培養。MDA-MB231(乳癌)可於10% CO2環境下,於帶有50% DMEM之F12培養基上培養。CL1-5係由Chu et al.(1997) Am J Respir Cell Mol Biol 17:353-360所建立。Mahlavu為 Dr. Hsiao M(GRC、中研院、台灣)所贈。其他細胞株係自美國菌種保藏中心(American Type Culture Collection)所取得。人類臍靜脈內皮細胞(HUVECs),及人類正常鼻黏膜(NNM)細胞的製備,皆已於先前研究中敘述過(Lee et al.(2007) Cancer Res 67:10958-10965;Lee et al.(2004) Cancer Res 64:8002-8008)。PC3 (prostate cancer), human lung cancer cell lines including H1993, H460, H441, A549 and CL1-5, which can be used in an environment containing 5% CO 2 humidity at 37 ° C in RPMI 1640 containing 10% FBS (Invitrogen) Growing in. SAS (oral cancer), HCT116 (colorectal cancer), Mahlavu (liver cancer), NPC-TW04 (nasopharyngeal carcinoma) (Lee et al. (2004) Cancer Res 64: 8002-8008), PaCa (pancreatic cancer), U2OS (Osteosarcoma) and 293T lines can be grown on DMEM containing 10% FBS. A498 (kidney malignancy) can be cultured on MEM. MDA-MB231 (breast cancer) can be cultured in F12 medium with 50% DMEM in a 10% CO 2 environment. CL1-5 was established by Chu et al. (1997) Am J Respir Cell Mol Biol 17: 353-360. Mahlavu was presented by Dr. Hsiao M (GRC, Academia Sinica, Taiwan). Other cell lines were obtained from the American Type Culture Collection. Human umbilical vein endothelial cells (HUVECs), and human normal nasal mucosa (NNM) cells have been described in previous studies (Lee et al. (2007) Cancer Res 67: 10958-10965; Lee et al. 2004) Cancer Res 64: 8002-8008).

構築會表現人類原態scFv的噬菌體庫Construct a phage library that expresses human native scFv

簡言之,cDNA係自人類脾細胞組織之七個個別的樣本之mRNA混合物中,藉由使用寡dT引子及反轉錄酶(Invitrogen) Superscript III而合成。VH及VL之基因係藉由PCR,並使用PfuUltra聚合酶(EMD Biosciences),及特定引子(Marks et al.,1991)增幅。該PCR產物可使用核酸純化套組(Qiagene),以將之從洋菜膠上分離,及純化出來。該VH及VL基因編碼區,可藉由編碼(GGGGS)3胺基酸殘基之DNA片段組合,其係藉由PCR,及使用含有特定限制酶切位的引子,該切位分別位於5’(SfiI)及3’(NotI)端達成。該組合後的產物係以限制酶SfiINotI(NEB)進行酶切,接著將之接合至pCANTAB-5E噬菌質體載體上(GE Healthcare)。將該人類之含有scFv基因之pCANTAB-5E載體,以電穿孔法送入TG1大腸桿菌勝任細胞中。經電穿孔後,回收TG1大腸桿菌細胞,並將之於2YT培養基(BD)上進行培養;其中該培養基含有100 μg/ml青黴素及2%葡萄糖(2YT-AG)。接著,以M13KO7噬菌體拯救該TG1細胞,接著於培養基中即可產生噬菌體顆粒,其會表現scFv。Briefly, cDNA was synthesized from a mixture of mRNA from seven individual samples of human spleen cell tissue using an oligo dT primer and reverse transcriptase (Invitrogen) Superscript III. Transgenic lines of V H and V L by PCR, using a polymerase PfuUltra (EMD Biosciences), and specific primers (Marks et al., 1991) increase. The PCR product can be isolated from the gelatin using a nucleic acid purification kit (Qiagene) and purified. The V H and V L coding region of the gene, can be by a combination of a DNA fragment encoding the (GGGGS) 3 amino acid residues of which by the PCR-based, and specific primers containing restriction enzyme cleavage, the cleavage sites are located 5' ( SfiI ) and 3' ( NotI ) ends are reached. The combined product was digested with restriction enzymes SfiI and NotI (NEB), and then ligated into pCANTAB-5E phage vector (GE Healthcare). The human pCANTAB-5E vector containing the scFv gene was electroporated into TG1 E. coli competent cells. After electroporation, TG1 E. coli cells were recovered and cultured on 2YT medium (BD) containing 100 μg/ml penicillin and 2% glucose (2YT-AG). Next, the TG1 cells are rescued with M13KO7 phage, and then phage particles are produced in the medium, which will express scFv.

藉由使用噬菌體庫生物淘選(biopanning)以篩選出可表現表現抗c-Met scFv之噬菌體Phage display of phage expressing anti-c-Met scFv by phage library biopanning

藉由蛋白G dynabeads(Invitrogen)以篩選出可表現表現具專一性的抗c-Met scFv之噬菌體。將c-Met-Fc重組蛋白(R&D)與蛋白G dynabeads,於室溫下(RT)培養1小時。先將scFv噬菌體庫(2×109種類)於蛋白G dynabeads上非專一性結合排除(subtraction),接著將之與c-Met-Fc固化的dynabead,於4℃培養1小時。接著以PBST沖洗4次以移除未結合的噬菌體。再藉由大腸桿菌TG1細胞,於37℃作用30分鐘,以回收與c-Met-Fc結合之噬菌體。取部分之被噬菌體感染之大腸桿菌細胞,進行序列稀釋以定量,其他部分則藉由M13KO7輔助噬菌體(NEB)營救。經定量被拯救之噬菌體的力價後,即可執行下一回合的生物淘選。於第四及第五回的生物淘選,係隨機選擇噬菌體株以培養進行ELISA篩選。The phage which can express the specific anti-c-Met scFv can be screened by the protein G dynabeads (Invitrogen). The c-Met-Fc recombinant protein (R&D) was incubated with protein G dynabeads for 1 hour at room temperature (RT). The scFv phage library (2 x 109 species) was first non-specifically bound on protein G dynabeads, and then incubated with c-Met-Fc-cured dynabead for 1 hour at 4 °C. The cells were then washed 4 times with PBST to remove unbound phage. Further, Escherichia coli TG1 cells were used at 37 ° C for 30 minutes to recover phage which binds to c-Met-Fc. A portion of the phage-infected E. coli cells were serially diluted for quantification, and the rest were rescued by M13KO7 helper phage (NEB). After quantifying the price of the rescued phage, the next round of biopanning can be performed. In the fourth and fifth biopanning, phage strains were randomly selected for culture and subjected to ELISA screening.

評估所選擇的噬菌體株,其對於會過量表現c-Met之293T細胞的結合專一性。The selected phage strain was evaluated for binding specificity for 293T cells that would overexpress c-Met.

於免疫螢光染色分析中,將293T細胞於蓋玻片上培養至80%細胞密度(confluence)。接著使用Lipofectamin 2000(Invitrogen),並根據製造商的操作手冊,將pEF-c-Met表現載體進行細胞轉染(transfection)。經48小時轉染後,將細胞與所選擇的抗c-Met噬菌體、或對照組噬菌體,以1×1010的噬菌體力價,於4℃培養30分鐘。接著將細胞以PBS沖洗兩次後,將之以4%三聚甲醛固定,再以0.1% TritonX-100使之孔洞化,再以3% BSA進行阻隔(block)。將該等細胞以兔抗myc抗體(Sigma-Aldrich),及鼠抗M13噬菌體抗體進行探測,接著分別以若丹明(Rhodamine)標記之山羊抗兔IgG,及FITC標記之抗鼠IgG進行染色。細胞核則以DAPI進行染色。再藉由倒立螢光顯微鏡(Axiovert 200M,Zeiss)攝影該等螢光影像。In immunofluorescence staining analysis, 293T cells were cultured on coverslips to 80% cell density. The pEF-c-Met expression vector was then transfected using Lipofectamin 2000 (Invitrogen) and according to the manufacturer's protocol. After 48 hours of transfection, the cells were incubated with the selected anti-c-Met phage, or control phage, at a titer of 1 x 10 10 phage for 30 minutes at 4 °C. The cells were then washed twice with PBS, fixed in 4% paraformaldehyde, and then densified with 0.1% Triton X-100 and blocked with 3% BSA. The cells were probed with rabbit anti-myc antibody (Sigma-Aldrich), and mouse anti-M13 phage antibody, followed by Rhodamine-labeled goat anti-rabbit IgG, and FITC-labeled anti-mouse IgG, respectively. The nucleus was stained with DAPI. The fluorescent images were then photographed by an inverted fluorescent microscope (Axiovert 200M, Zeiss).

於流式細胞儀分析,將293T細胞培養至80%細胞密度(confluence),並將之以pEF-c-Met表現載體以前述方法進行轉染。經48小時後,以0.05%胰蛋白酶-EDTA收穫該等被轉染之細胞,接著將之與所選擇的噬菌體、或對照組噬菌體,以1×1010的噬菌體力價,於FACS緩衝液(含有1%胎牛血清之PBS)中,於4℃培養1小時。待以FACS緩衝液沖洗該等細胞後,再將該等細胞與鼠抗M13噬菌體抗體,於4℃培養1小時,再將之與R-藻紅蛋白(phycoerythrin)結合的山羊抗鼠IgG(Jackson ImmunoReSearch),於4℃培養30分鐘。再使用FACSCantoII(BD)以進行分析,以及藉由FACSDiva軟體(BD)測量所發散的螢光強度,以將其之結合親和性定量。For flow cytometry analysis, 293T cells were cultured to 80% cell density and transfected with the pEF-c-Met expression vector in the manner described above. After 48 hours, the transfected cells were harvested with 0.05% trypsin-EDTA, and then incubated with the selected phage, or control phage, at a titer of 1 x 10 10 phage in FACS buffer ( The cells were incubated at 4 ° C for 1 hour in PBS containing 1% fetal bovine serum. After washing the cells with FACS buffer, the cells were incubated with mouse anti-M13 phage antibody at 4 ° C for 1 hour, and then conjugated with R-phycoerythrin for goat anti-mouse IgG (Jackson ImmunoReSearch), incubated at 4 ° C for 30 minutes. FACSCanto II (BD) was used for analysis, and the fluorescence intensity of the divergence was measured by FACSDiva software (BD) to quantify its binding affinity.

可溶的scFv的表現及純化。Performance and purification of soluble scFv.

將抗c-Met scFv噬菌體選殖株1、20及21,分別感染大腸桿菌HB2151株,接著製備細菌的原生質周圍隙萃取物。根據製造商的操作手冊,以蛋白L洋菜膠管柱(Protein L agarose column,Thermo Scientific)將可溶的scFv自原生質周圍隙萃取物中純化出來。再以PBS將純化的scFvs進行充分的透析,接著藉由還原的SDS-PAGE,及接著藉由探測抗E標記之抗體(GE Healthcare),進行蛋白質染色(coomassie blue staining)、西方墨點分析來分析。Anti-c-Met scFv phage selection strains 1, 20 and 21 were respectively infected with Escherichia coli HB2151 strain, followed by preparation of bacterial protoplast clearance extract. Soluble scFv was purified from the protoplast clearance extract using a Protein L agarose column (Thermo Scientific) according to the manufacturer's instructions. The purified scFvs were further dialyzed with PBS, followed by reduced SDS-PAGE, and then by detection of anti-E-labeled antibodies (GE Healthcare) for protein staining (Coomassie blue staining) and Western blot analysis. analysis.

構築編碼人類c-Met基因之哺乳動物表現載體。A mammalian expression vector encoding a human c-Met gene is constructed.

藉由特定引子,以Superscript III反轉錄酶,將全部的人類c-Met cDNA(NM_001127500.1)自HepG2細胞之總RNA中合成出來,並接著將之做為PCR的模板。該編碼全長c-Met的DNA係藉由使用PfuUltra酵素,以PCR增幅,並將之以正確讀碼順序(in frame)與myc標記之抗原決定基pEF載體(Invitrogen)進行接合(ligation),以生成pEF-c-Met-myc。編碼c-Met胺基酸殘基1至932,及1至567的DNA片段,係藉由PCR增幅,接著將之構築至pEF載體上,以分別製成pEF-c-MetF932及pEF-c-MetF567。該人類IgG1 Fc之編碼區係從人類之脾細胞cDNA庫中所取得,接著以正確讀碼順序(in frame)將之與c-MetF932及c-MetF567之羧端接合,以分別生成pEF-c-MetF932-Fc及pEF-c-MetF567-Fc。All human c-Met cDNA (NM_001127500.1) was synthesized from total RNA of HepG2 cells by Superscript III reverse transcriptase using a specific primer, and then used as a template for PCR. The full-length c-Met-encoding DNA was amplified by PCR using PfuUltra enzyme and ligated in frame with the myc-tagged epitope EF vector (Invitrogen) in the correct frame reading format (invitrogen). Generate pEF-c-Met-myc. DNA fragments encoding c-Met amino acid residues 1 to 932, and 1 to 567 were amplified by PCR and then constructed into pEF vectors to prepare pEF-c-MetF 932 and pEF-c, respectively. -MetF 567 . The coding region of the human IgG 1 Fc was obtained from a cDNA library of human spleen cells, and then ligated into the carboxy terminus of c-MetF 932 and c-MetF 567 in a correct reading frame to generate separately. pEF-c-MetF 932- Fc and pEF-c-MetF 567- Fc.

c-Met截斷的重組蛋白之生產及純化Production and purification of recombinant protein c-Met truncated

經以Lipofectamin 2000,將pEF-c-MetF932-Fc或c-MetF567-Fc分別短暫轉染至293T細胞後,即可從293T細胞的培養上清液中製備c-MetF932-Fc及c-MetF567-Fc融合蛋白。於72小時之轉染後,將過濾的上清液通透過1 ml的蛋白G洋菜膠管柱(GE healthcare)。經以PBS沖洗後,將結合的蛋白以0.1 M甘胺酸-HCl pH 2.8洗提出來,接著以1 M Tris-HCl pH 9.1進行中和。將該洗提液以PBS充分的透析,接著以Amicon Ultra-4離心濾膜(截止10kDa;Millipore)濃縮。Was to Lipofectamin 2000, the pEF-c-MetF 932 -Fc or the c-MetF 567 -Fc were transiently transfected into 293T cells, 293T cells can be cultured from the supernatant prepared and c-MetF 932 -Fc c -MetF 567 -Fc fusion protein. After 72 hours of transfection, the filtered supernatant was passed through a 1 ml Protein G vegetable gel column (GE healthcare). After washing with PBS, the bound protein was eluted with 0.1 M glycine-HCl pH 2.8, followed by neutralization with 1 M Tris-HCl pH 9.1. The eluate was dialyzed extensively with PBS, followed by concentration with an Amicon Ultra-4 centrifugal filter (cutoff 10 kDa; Millipore).

藉由共軛焦顯微鏡觀察抗c-Met scFv的內化作用Internalization of anti-c-Met scFv by conjugated focal microscope

將H1993、H460、及c-Met-剔除的H460細胞種於蓋玻片上,並將之長滿至80%的細胞密度。於4℃及37℃,將該等細胞與抗c-Met scFv S1或S20一起培養30分鐘。經以PBS沖洗2次後,將該等細胞以4%三聚甲醛進行固定,並加入3% BSA進行阻斷。再藉由抗Flag抗體(Sigma-Aldrich)將細胞染色,接著以FITC標記之山羊抗鼠IgG(Jackson ImmunoResearch),及DAPI(Invitrogen)探測。所有的螢光影像係藉由共軛焦顯微鏡(TCS-SP5,Leica)拍攝。H1993 cells, H1993, H460, and c-Met-knocked were seeded on coverslips and grown to a cell density of 80%. The cells were incubated with anti-c-Met scFv S1 or S20 for 30 minutes at 4 ° C and 37 ° C. After rinsing twice with PBS, the cells were fixed with 4% paraformaldehyde and blocked by the addition of 3% BSA. The cells were then stained with anti-Flag antibody (Sigma-Aldrich), followed by FITC-labeled goat anti-mouse IgG (Jackson ImmunoResearch), and DAPI (Invitrogen). All fluorescence images were taken by a conjugated focus microscope (TCS-SP5, Leica).

構築原核表現載體以生產抗c-Met scFv20-cys(Ms20)Construction of prokaryotic expression vector to produce anti-c-Met scFv20-cys (Ms20)

將pCANTAB-5E經NotI-EcoRI酵素酶切,以將E標記及pIII DNA片段移除,再透過NotI-EcoRI位置以插入編碼FLAG標記、六個組胺酸、及半胱胺酸殘基的合成DNA片段,以製得原核表現載體pFHC。將抗c-Met S20基因自pCANTAB-5E-S20上酶切下來,透過NcoI-NotI部位,以接合至pFHC載體上。將構築好的載體轉形至大腸桿菌BL21(Novagen)中,以表現表現出於羧端含有六個組胺酸、及半胱胺酸之scFv。pCANTAB-5E was digested with NotI-EcoRI enzyme to remove the E-tag and pIII DNA fragments, and then passed through the NotI-EcoRI site to insert a gene encoding FLAG tag, six histidine, and cysteine residues. DNA fragment to obtain prokaryotic expression vector pFHC. The anti-c-Met S20 gene was digested from pCANTAB-5E-S20 and passed through the NcoI-NotI site to bind to the pFHC vector. The constructed vector was transformed into E. coli BL21 (Novagen) to express scFv containing six histidine acids and cysteine at the carboxyl terminus.

抗c-Met scFv20-cys(Ms20)的表現及純化Performance and purification of anti-c-Met scFv20-cys (Ms20)

將單一聚落之大腸桿菌BL21接種於含有100 μg/ml青黴素之Terrific培養液(TB;MDBio,台灣)(TB-A)中,並將之於30℃培養整夜。將培養整夜之培養物,以1/50的稀釋體積於另一新鮮的2.5升TB-A中,於30℃進行培養,直到其OD600達到0.5為止。接著,藉由加入最終濃度為0.4 mM IPTG,以及直接於TB-A中溶解0.4 M蔗糖,進行誘導。該培養方式係於30℃、250rpm之速度震盪、連續培養16小時。Single colony of Escherichia coli BL21 was inoculated into Terrific broth (TB; MD Bio, Taiwan) (TB-A) containing 100 μg/ml penicillin, and cultured at 30 ° C overnight. The overnight culture will be cultured in a fresh 1/50 dilution volume in another fresh 2.5 liter TB-A and cultured at 30 °C until its OD600 reaches 0.5. Next, induction was carried out by adding a final concentration of 0.4 mM IPTG and dissolving 0.4 M sucrose directly in TB-A. The culture method was incubated at 30 ° C and 250 rpm and continuously cultured for 16 hours.

以20,000×g離心30分鐘以移除上清液,接著將離心後之細菌塊,以冷的200 ml的TES緩衝液(10 mM Tris、20%蔗糖、及1 mM EDTA pH 8.0;EMD Biosciences)重新懸浮,接著將之於4℃,經溫和的攪拌1小時培養。藉由於22,000×g之速度離心30分鐘,以收集滲壓衝擊之區段(osmotic shock fraction)。藉由將離心塊置於冰冷的5 mM MgSO4培養,並伴隨溫和攪拌1小時,以取得原生質周圍隙萃取物。The supernatant was removed by centrifugation at 20,000 x g for 30 minutes, followed by centrifugation of the bacterial mass into cold 200 ml of TES buffer (10 mM Tris, 20% sucrose, and 1 mM EDTA pH 8.0; EMD Biosciences). Resuspend, then incubated at 4 ° C with gentle agitation for 1 hour. The osmotic shock fraction was collected by centrifugation for 30 minutes at a rate of 22,000 x g. The protoplast surrounding extract was obtained by incubating the pellet in ice-cold 5 mM MgSO 4 with gentle agitation for 1 hour.

將滲壓衝擊之區段及原生質周圍隙萃取物混合,以回收最多的MS20,接著將NaCl以0.5 M之最終濃度,及咪唑以0.5 mM最終濃度加入該混合樣本中。將5 ml的Ni+-NTA凝膠(sepharose)管柱(GE Healthcare)以15 ml的結合緩衝液(20 mM Tris、0.5 M NaCl及5 mM咪唑pH 7.9)平衡後,再加入樣本。接著以洗提緩衝液(20 mM Tris、0.5 M NaCl及1 M咪唑pH 7.9)將結合的Ms20洗提出來。將該洗提液,於4℃以PBS徹底的透析兩次。經透析後,該樣本係藉由蛋白A洋菜膠管柱(2 ml)(GE Healthcare)再次純化。將該再次純化之Ms20以HEPES緩衝液(20 mM HEPES、150 mM NaCl及1 mM EDTA、pH 7.0)進行透析兩次,接著以10 kDa截止的管(Amicon Ultra,Millipore)濃縮。The osmotic shock zone and the protoplast surrounding gap extract were mixed to recover the most MS20, then NaCl was added to the mixed sample at a final concentration of 0.5 M, and imidazole at a final concentration of 0.5 mM. A 5 ml Ni + -NTA gel column (GE Healthcare) was equilibrated with 15 ml of binding buffer (20 mM Tris, 0.5 M NaCl and 5 mM imidazole pH 7.9) and the sample was added. The bound Ms20 was then eluted with elution buffer (20 mM Tris, 0.5 M NaCl and 1 M imidazole pH 7.9). The eluate was thoroughly dialyzed twice with PBS at 4 °C. After dialysis, the sample was again purified by Protein A Agaric Column (2 ml) (GE Healthcare). The repurified Ms20 was dialyzed twice with HEPES buffer (20 mM HEPES, 150 mM NaCl and 1 mM EDTA, pH 7.0), followed by concentration with a 10 kDa cut-off tube (Amicon Ultra, Millipore).

測量結合動力學(binding kinetics)Measuring binding kinetics

抗c-Met scFv之親和力及動力學係藉由BIAcore X(GE healthcare)以SRP測量。於BIAcore流量計(flowcell)中,將30 μg/ml的c-MetF932-Fc蛋白耦合至EDC-及NHS-活化的CM5感測晶片,接著根據製造商的操作手冊以乙醇胺進行阻斷。使用濃度介於5至200 nM的scFv,於30 μl/min速度連續流量,分別於3及5分鐘監控結合相及分離相。藉由注入再生緩衝液(0.2 M NaCl、10 mM甘胺酸、pH 2.7)以進行再生。使用BIAevaluation軟體(GE healthcare)以使感測圖譜(sensorgram)全面地符合樣本1:1的關係模式中,來決定結合常數。The affinity and kinetics of the anti-c-Met scFv were measured by SRP by BIAcore X (GE healthcare). 30 μg/ml of c-MetF 932- Fc protein was coupled to EDC- and NHS-activated CM5 sensing wafers in a BIAcore flowcell, followed by blocking with ethanolamine according to the manufacturer's protocol. The combined phase and separated phase were monitored at 3 and 5 minutes, respectively, using a scFv concentration of 5 to 200 nM at a continuous flow rate of 30 μl/min. Regeneration was carried out by injecting regeneration buffer (0.2 M NaCl, 10 mM glycine, pH 2.7). Binding constants were determined using BIAevaluation software (GE healthcare) to allow the sensorgram to fully conform to the sample 1:1 relationship pattern.

競爭結合試驗Competitive combination test

為了監控scFv的抑制效果,吾人將c-MetF932-Fc蛋白包覆於一96孔盤上,並以3% BSA(溶於PBS中)進行非專一性結合的阻斷。接著將1 nM人類HGF(R&D),及不同濃度之抗c-Met scFv或正常的老鼠IgG加至該等孔中。使用山羊抗人類HGF(R&D)以判定結合至c-Met的HGF量,接著將之與HRP-標記的老鼠抗山羊IgG(Jackson ImmunoResearch)及加上H2O2的OPD受質(Sigma)進行培養。再以微盤分析儀於490 nm波長測量其吸光值。並藉由下列公式以計算抑制率:[(HGF沒有與競爭者結合的吸光值)-(HGF與競爭者結合的吸光值)]/(HGF沒有與競爭者結合的吸光值)×100%。To monitor the inhibitory effect of scFv, we coated the c-MetF 932- Fc protein on a 96-well plate and blocked it with 3% BSA (dissolved in PBS) for non-specific binding. 1 nM human HGF (R&D), and various concentrations of anti-c-Met scFv or normal mouse IgG were then added to the wells. Goat anti-human HGF (R&D) was used to determine the amount of HGF bound to c-Met, followed by HRP-labeled mouse anti-goat IgG (Jackson ImmunoResearch) and H 2 O 2 plus OPD receptor (Sigma). to cultivate. The absorbance was measured at a wavelength of 490 nm using a microdisk analyzer. The inhibition rate was calculated by the following formula: [(HGF has no absorbance combined with competitors) - (HGF absorbs light combined with competitors)] / (HGF has no absorbance combined with competitors) x 100%.

構築Ms20標靶的微脂體阿黴素(Ms20-LD)Construction of Ms20 Targeted Liposomal Doxorubicin (Ms20-LD)

首先需確認該純化的Ms20具有還原的硫醇基以供共軛結合,吾人於N2環境下、室溫,將該純化的Ms20以2 mM TCEP(參(2-羰基乙基)膦;Sigma-Aldrich)處理2小時,以還原Ms20的分子間雙硫鍵。將還原的Ms20以HiTrap G-25管柱(GE healthcare),以HEPES緩衝液洗提,以進行脫鹽。將馬來醯亞胺-羰基聚乙二醇(Mr 2,000)衍生的二硬脂磷脂醯乙醇胺(馬來醯亞胺-PEG-DSPE;NOF公司,日本)結合入聚乙二醇化的微脂體阿黴素(Lee et al.,2004;Lo et al.,2008)的方式,會於下說明。將馬來醯亞胺-PEG-DSPE溶解於HEPES緩衝液中,並加入於0.5莫耳%的微脂體磷脂質類的LD中,接著將該混合物於60℃,伴隨溫和的攪拌經1小時培養。接著將還原的Ms20與馬來醯亞胺-PEG-DSPE-嵌入LD於4℃培養整夜而結合,以生成於一個微脂體中含有約60分子的Ms20。經使用2-巰基乙醇(2 mM之最終濃度)後,以去活化所有未反應的馬來醯亞胺基,吾人以凝膠(Sepharose) 4B(GE healthcare)膠體過濾層析法以移除釋放出的游離藥物、未結合的scFv、及未整合的共軛物。於洗提液中阿黴素的濃度可使用分光螢光計(Spectra Max M5,Molecular Devices),於λEx/Em=485/590 nm測量。該Ms20-LD區段可藉由還原的SDS-PAGE分離,接著以硝酸銀染色,以評估結合的效率。First, it is confirmed that the purified Ms20 has a reduced thiol group for conjugate binding, and the purified Ms20 is 2 mM TCEP (paraxyl (2-carbonylethyl) phosphine; Sigma under N 2 atmosphere at room temperature; -Aldrich) treatment for 2 hours to reduce the intermolecular disulfide bond of Ms20. The reduced Ms20 was eluted with a HiTrap G-25 column (GE healthcare) in HEPES buffer for desalting. Incorporation of maleic imine-carbonyl polyethylene glycol (M r 2,000)-derived distearyl phospholipid ethanolamine (maleimide-PEG-DSPE; NOF, Japan) into pegylated liposome The manner of the body doxorubicin (Lee et al., 2004; Lo et al., 2008) will be explained below. The maleic imine-PEG-DSPE was dissolved in HEPES buffer and added to 0.5 mol% of the liposome phospholipids in LD, followed by the mixture at 60 ° C with gentle agitation for 1 hour. to cultivate. The reduced Ms20 was then combined with the maleic imine-PEG-DSPE-embedded LD at 4 ° C overnight to form about 60 molecules of Ms20 in one liposome. After using 2-mercaptoethanol (2 mM final concentration) to deactivate all unreacted maleimine groups, we removed the release by gel filtration chromatography using Sepharose 4B (GE healthcare). Free drug, unbound scFv, and unintegrated conjugate. The concentration of doxorubicin in the eluate can be measured using a spectrofluorometer (Spectra Max M5, Molecular Devices) at λ Ex/Em = 485/590 nm. The Ms20-LD segment can be separated by reduced SDS-PAGE followed by silver nitrate staining to assess the efficiency of binding.

Ms20-LD結合至人類肺癌細胞之辨別Identification of Ms20-LD binding to human lung cancer cells

將細胞培養於12孔盤至90%的細胞密度。將盤上的細胞與序列稀釋之LD或Ms20-LD(0.625-10 μg/ml阿黴素),於4℃培養1小時。經培養後,以PBS沖洗該等細胞,並將之以200μl 1% Triton X-100進行溶解。將300 μl IPA(0.75 N HCl溶於異丙醇中)加入該溶解物中,並搖晃30分鐘,以萃取阿黴素。經將該等溶解物以12,000 rpm之速度離心5分鐘後,藉由分光螢光計,於λEx/Em=485/590 nm測量上清液中之阿黴素。該阿黴素之濃度係藉由標準曲線以內插法計算。The cells were cultured in 12-well plates to a cell density of 90%. The cells on the plate were incubated with serially diluted LD or Ms20-LD (0.625-10 μg/ml doxorubicin) for 1 hour at 4 °C. After the incubation, the cells were washed with PBS and dissolved in 200 μl of 1% Triton X-100. 300 μl of IPA (0.75 N HCl in isopropanol) was added to the solution and shaken for 30 minutes to extract doxorubicin. After centrifuging the lysate at 12,000 rpm for 5 minutes, the doxorubicin in the supernatant was measured by a spectrofluorometer at λ Ex/Em = 485/590 nm. The concentration of the doxorubicin was calculated by interpolation using a standard curve.

Ms20-LD被人類癌細胞之吸收情況Ms20-LD is absorbed by human cancer cells

將腫瘤細胞培養於12孔盤中至90%細胞密度,於完全培養基中之2.5 μg/ml Ms20-LD或LD再被加入,接著於37℃繼續培養指定之時間。將細胞以PBS沖洗後,以0.1 M甘胺酸pH 2.8作用10分鐘,以移除細胞表面之Ms20-LD及LD。阿黴素被細胞吸收的量可藉由前述方式偵測。Tumor cells were cultured in a 12-well plate to a cell density of 90%, and 2.5 μg/ml of Ms20-LD or LD in complete medium was added, followed by incubation at 37 ° C for the indicated time. After the cells were washed with PBS, they were subjected to 0.1 M glycine pH 2.8 for 10 minutes to remove Ms20-LD and LD on the cell surface. The amount of doxorubicin absorbed by the cells can be detected by the aforementioned means.

以共軛焦顯微鏡分析Ms20-LD於細胞吸收的情況Analysis of Ms20-LD in cell uptake by conjugated focal microscope

將H1993細胞培養於蓋玻片上以至可次選殖之細胞密度(subconfluency)。於含有2.5 μg/ml之Ms20-LD或LD的完全培養基,於37℃、於不同時間點培養該等細胞。經以PBS沖洗兩次後,將該等細胞以4%三聚甲醛進行固定,並加入3% BSA進行阻斷。細胞膜及細胞核則分別以Alexa Fluor 647結合的麥胚凝集素(Invitrogen)及DAPI(Invitrogen)染色。細胞內的阿黴素可於λEx/Em=485/590 nm,偵測到螢光。所有螢光影像可以雷射掃瞄共軛焦顯微鏡(TCS-SP5,Leica)進行攝影,以及以LAS AF軟體(Leica)分析。H1993 cells were cultured on coverslips to subconfluency. The cells were cultured at 37 ° C at different time points in complete medium containing 2.5 μg/ml of Ms20-LD or LD. After washing twice with PBS, the cells were fixed with 4% paraformaldehyde and blocked by the addition of 3% BSA. The cell membrane and nucleus were stained with Alexa Fluor 647-conjugated wheat germ agglutinin (Invitrogen) and DAPI (Invitrogen), respectively. Intracellular doxorubicin can detect fluorescence at λ Ex/Em = 485/590 nm. All fluorescent images can be photographed with a laser scanning conjugated focus microscope (TCS-SP5, Leica) and analyzed with LAS AF software (Leica).

細胞存活試驗Cell survival test

將細胞以每孔3000個細胞之密度種於96孔盤中,並將之與不同濃度(0-20 μg/ml)之MS20-LD或LD於培養基(10% FBS)中,於37℃作用24小時。經移除過多的藥劑後,將細胞以PBS沖洗一次,接著以培養基於37℃繼續培養48小時。藉由MTT(Invitrogen)試驗以偵測細胞之存活率。將該等細胞培養於含有0.1 mg/ml MTT之培養基中,於37℃培養2.5小時。接著將甲臢(formazan)晶體溶解於DMSO(Sigma-Aldrich)中,接著以微盤分析儀(Model 680,BioRad)於540 nm時測量其吸光值。每一次分析需重複三次。所呈現之資料為存活細胞相較於未處理控制組之細胞的百分比。The cells were seeded in 96-well plates at a density of 3000 cells per well and treated with different concentrations (0-20 μg/ml) of MS20-LD or LD in medium (10% FBS) at 37 °C. 24 hours. After removing too much of the agent, the cells were washed once with PBS, followed by incubation with the medium at 37 ° C for 48 hours. The survival rate of the cells was examined by an MTT (Invitrogen) test. The cells were cultured in a medium containing 0.1 mg/ml of MTT, and cultured at 37 ° C for 2.5 hours. The formazan crystals were then dissolved in DMSO (Sigma-Aldrich), and the absorbance was measured at 540 nm using a microplate analyzer (Model 680, BioRad). Each analysis needs to be repeated three times. The data presented is the percentage of viable cells compared to cells in the untreated control group.

活體外(In vitro)細胞凋亡研究In vitro apoptosis study

將H1993細胞種於24孔盤中,隔夜培養以使其貼附,接著將之分別以2.5μg/ml Ms20-LD或LD於含有10% FBS的RPMI1640中培養。經與藥物培養24、48及72小時後,以溶解緩衝液(Cell Signaling)收取該等細胞,並將之進行西方墨點法分析。使用的抗體如下:兔抗切割胱冬肽酶9(Asp315)、兔抗切割胱冬肽酶3(Asp175)、兔抗PARP(皆從Cell Signaling購買),以及鼠抗α-微管蛋白(Sigma-Aldrich)。化學螢光訊號係以BioSpectrum 600影像系統(UVP)偵測之,並以Vision WorksLS軟體(UVP)定量之。H1993 cells were seeded in 24-well plates, cultured overnight to attach them, and then cultured in 2.5 μg/ml Ms20-LD or LD in RPMI 1640 containing 10% FBS, respectively. After 24, 48 and 72 hours of incubation with the drug, the cells were harvested in lysis buffer (Cell Signaling) and subjected to Western blot analysis. The antibodies used were as follows: rabbit anti-cleaving caspase 9 (Asp 315), rabbit anti-cleaving caspase 3 (Asp 175), rabbit anti-PARP (both purchased from Cell Signaling), and murine anti-α-tubulin (Sigma) -Aldrich). Chemical fluorescence signals were detected using the BioSpectrum 600 Imaging System (UVP) and quantified in Vision WorksLS software (UVP).

scFv結合的量子點(QD)之合成Synthesis of scFv-bound quantum dots (QD)

分別以Qdot 705及Qdot 800 ITK胺基PEG量子點(Invitrogen)進行活體外細胞結合試驗,及活體內影像試驗。用以合成配體結合QD的步驟,係參考先前研究後加以修改以進行(Cai and Chen(2008) Nat Protoc 3:89-96)。簡言之,將QD與磺酸基-SMCC(磺基琥珀醯亞胺-4-(N-順丁烯二醯亞胺甲基)環戊烷-1-羧酸鹽;Pierce)結合,以於QD上生成馬來亞醯胺活化的表面,接著藉由NAP-10脫鹽管柱(GE healthcare)以移除未結合的磺酸基-SMCC。藉由TCEP將Ms20還原,以於羧基端生成活化的硫醇基,接著將之與馬來亞醯胺官能基化的QD,於4°C隔夜培養。藉由凝膠(sepharose)4B凝膠過濾層析法,以HEPES緩衝液洗提,以純化出Ms20結合的QD。該QD的濃度係以分光螢光計分析之,並藉由使用標準曲線以內插法計算之。In vitro cell binding assays and in vivo imaging assays were performed with Qdot 705 and Qdot 800 ITK amine PEG quantum dots (Invitrogen), respectively. The procedure for synthesizing the ligand-binding QD was modified with reference to previous studies (Cai and Chen (2008) Nat Protoc 3:89-96). Briefly, QD is combined with a sulfonic acid-SMCC (sulfo-succinimide-4-(N-methyleneimineiminemethyl)cyclopentane-1-carboxylate; Pierce) to The maleic acid-activated surface was generated on the QD, followed by removal of the unbound sulfonic acid-SMCC by a NAP-10 desalination column (GE healthcare). Ms20 was reduced by TCEP to form an activated thiol group at the carboxy terminus, which was then incubated with the maleimine-functionalized QD overnight at 4 °C. The Ms20-bound QD was purified by gel filtration (sepharose) 4B gel filtration chromatography in HEPES buffer. The concentration of the QD was analyzed by a spectrofluorometer and was calculated by interpolation using a standard curve.

人類腫瘤異種移植的活體內螢光影像In vivo fluorescent images of human tumor xenografts

將六個12週大的SCID公鼠以2×106 H1993細胞進行皮下移植。當腫瘤之大小達到約300 mm3後,將老鼠隨機分為兩組(每組3隻老鼠),並分別靜脈注射400 pmole Ms20-QD或QD。當老鼠皆以異氟烷(isofluoran)進行麻醉後,即以Xenogen IVIS 200影像系統(激發:525/50 nm;發射:832/65 nm),於指定時間進行螢光影像之攝影。於拍攝完後,將老鼠以頸椎脫位術犧牲之。將器官及腫瘤自老鼠中取出,並將之進行螢光影像分析。為了定量比較腫瘤內Ms20-QD及QD的累積情形,係以活體影像軟體(Xenogen),去除背景值後,計算其螢光強度。Six 12-week old SCID male mice were subcutaneously transplanted with 2 x 10 6 H1993 cells. When the size of the tumor reached approximately 300 mm 3 , the mice were randomized into two groups (3 mice per group) and injected intravenously with 400 pmole Ms20-QD or QD. When the mice were anesthetized with isofluoran, the Xenogen IVIS 200 imaging system (excitation: 525/50 nm; emission: 832/65 nm) was used to perform fluorescence imaging at the indicated time. After the filming, the rats were sacrificed by cervical dislocation. Organs and tumors were removed from the mice and analyzed by fluorescence imaging. In order to quantitatively compare the accumulation of Ms20-QD and QD in the tumor, the fluorescence intensity was calculated by removing the background value by Xenogen.

活體內噬菌體標靶試驗之動物模式Animal model of phage target test in vivo

將六隻SCID老鼠(六週齡)以5×106肺癌細胞皮下注射之。當腫瘤達到約300mm3大小後,隨機將老鼠分為兩組(每組3隻老鼠),並以2×109菌落形成單位(cfu)之抗c-Met scFv噬菌體選殖株20或控制組噬菌體進行靜脈注射。經以50 ml PBS灌注後,將器官及腫瘤組織移除,並以冰的PBS清洗,及秤重。將結合至腫瘤組織的噬菌體,以生長中之TG1回收之,並測量洗提出的噬菌體力價。The six SCID mice (six weeks of age) at 5 × 10 6 cells were injected subcutaneously of lung cancer. When the tumor reached a size of about 300 mm 3 , the mice were randomly divided into two groups (3 mice per group) and 2 × 10 9 colony forming units (cfu) of anti-c-Met scFv phage selection strain 20 or control group. The phage is administered intravenously. After perfusion in 50 ml PBS, the organs and tumor tissues were removed, washed with iced PBS, and weighed. The phage bound to the tumor tissue was recovered as TG1 in growth, and the eluted phage valence was measured.

於含有人類腫瘤之老鼠體內的標靶噬菌體的組織分佈情形,係藉由高敏感之聚合物-HRP IHC偵測系統(BioGenex),以免疫組織化學法評估之。將石蠟包埋之組織樣本,以鼠抗M13抗體進行染色,接著與高強化試劑(Super Enhancer reagent)及聚合物辣根過氧化物酶標記的抗鼠IgG(polymer horseradish peroxidase-labeled anti-mouse IgG)進行作用。經以PBST(0.1% Tween 20溶於PBS)沖洗後,將切片浸泡於添加0.01% H2O2之3,3’-二胺基-聯苯胺(DAB)溶液中,並以PBST沖洗之。該等組織切片遂以蘇木色素進行對比染色,並以溶於PBS之50%甘油固定之,接著以正立顯微鏡(Axioplan 2 Imaging MOT,Zeiss)分析之。動物之照護係遵從台灣台北中研院之規範進行之。The tissue distribution of the target phage in mice containing human tumors was evaluated by immunohistochemistry using a highly sensitive polymer-HRP IHC detection system (BioGenex). Paraffin-embedded tissue samples were stained with mouse anti-M13 antibody followed by Super Enhancer reagent and polymer horseradish peroxidase-labeled anti-mouse IgG ) to work. After washing with PBST (0.1% Tween 20 in PBS), the sections were immersed in a solution of 3,3'-diamino-benzidine (DAB) supplemented with 0.01% H 2 O 2 and rinsed with PBST. The tissue sections were comparatively stained with hematoxylin and fixed with 50% glycerol in PBS, followed by analysis with an erect microscope (Axioplan 2 Imaging MOT, Zeiss). Animal care is carried out in accordance with the norms of the Taipei Institute of Chinese Studies.

用以測量scFv標靶療法之抗腫瘤效用的動物模式Animal model for measuring the anti-tumor effect of scFv target therapy

將含有H460衍生的肺癌異種移植物(~75 mm3)之SCID老鼠,以總阿黴素劑量為4 mg/kg(1 mg/kg,每週一次),於其尾巴靜脈注射Ms20-LD、LD或等量之PBS,。每週兩次以卡尺測量腫瘤,且會定期觀察老鼠的體重減少,將之作為藥物毒性之一症狀。腫瘤體積係根據公式:長度x(寬度)2 x 0.52,以計算之。SCID mice containing H460-derived lung cancer xenografts (~75 mm 3 ) were given a total doxorubicin dose of 4 mg/kg (1 mg/kg once a week), and Ms20-LD was injected intravenously into the tail. LD or equivalent PBS,. Tumors were measured with calipers twice a week, and the body weight loss of the rats was regularly observed as a symptom of drug toxicity. Tumor volume is calculated according to the formula: length x (width) 2 x 0.52.

原位末端脫氧核苷酸转移酶dUTP標記(TUNEL)試驗In situ terminal deoxynucleotidyl transferase dUTP labeling (TUNEL) assay

將從處理組之老鼠身上取得之腫瘤,於液態氮中以O.C.T化合物(Tissue-Tek)進行包埋。製備冷凍的腫瘤組織切片,並根據製造商之操作手冊(Roche Diagnostics)以TUNEL試劑處理,並以DAPI進行對比染色。係以TissueFAXS系統顯微鏡(TissueGnostics)進行全切片之掃瞄。細胞的活動性係藉由設定DAPI為主要之顯微鏡觀察渠道(channel)來識別所有的細胞,並以MetaMorph軟體(Molecular Devices)定量之。Tumors obtained from mice in the treatment group were embedded in liquid nitrogen with O.C.T compound (Tissue-Tek). Frozen tumor tissue sections were prepared and treated with TUNEL reagent according to the manufacturer's instructions (Roche Diagnostics) and contrast stained with DAPI. A full-slice scan was performed with a TissueFAXS system microscope (TissueGnostics). Cell viability identified all cells by setting DAPI as the primary microscopic channel and quantified by MetaMorph software (Molecular Devices).

腫瘤血管染色Tumor vascular staining

從冷凍之腫瘤組織中製備切片後,將該等切片以1%三聚甲醛進行固定,再以PBS沖洗之,並以正常的馬血清(Vector Laboratories)進行阻斷,接著將之與大鼠抗小鼠CD31(BD)作用。經以含有0.1% Tween 20之PBS清洗後,將該等切片以Alexa Fluor 594-結合的抗大鼠IgG(Invitrogen)浸泡之。再以TissueFAXS系統顯微鏡掃瞄該等切片,並藉由MetaMorph分析該些螢光影像。After sections were prepared from frozen tumor tissues, the sections were fixed with 1% paraformaldehyde, rinsed with PBS, and blocked with normal horse serum (Vector Laboratories), followed by rat anti-rat Mouse CD31 (BD) effect. After washing with PBS containing 0.1% Tween 20, the sections were soaked with Alexa Fluor 594-conjugated anti-rat IgG (Invitrogen). The sections were then scanned with a TissueFAXS system microscope and the fluorescent images were analyzed by MetaMorph.

實施例1Example 1

識別出可結合至c-Met之會表現表現scFv的噬菌體Identifying phage that bind to c-Met and express scFv

為了篩選出可與c-Met結合之scFv,需構築含有2×109種類之噬菌體表現表現的人類原態scFv庫。首先將會與Dynabeads結合之噬菌體先行移除,再藉由c-Met結合的Dynabeads,篩選會與c-Met結合之噬菌體。經5回的親和性篩選後,於第4回所回收之噬菌體,具有高於第1回所回收者約1000倍之親和性(圖1A)。隨機挑選第5回的噬菌體選殖株,將之以ELISA測試其對c-Met之結合能力。發現第14號之噬菌體選殖株對於c-Met-Fc蛋白(A 490>0.2)具有卓越的結合活性。控制組噬菌體(Con-P)則做為一負對照組。經辨別後,有16個選殖株可專一結合至c-Met,但不會結合至VEGFR2及BSA控制組蛋白(資料未呈現)。將全部16個選殖株定序,找到3個獨特的抗c-Met噬菌體選殖株(PC1、PC20、及PC21)。請參閱下表1。In order to screen out scFvs that bind to c-Met, it is necessary to construct a human native scFv library containing 2 x 109 types of phage expression. The phage that binds to Dynabeads is first removed first, and the phage that binds to c-Met is screened by c-Met-conjugated Dynabeads. After 5 rounds of affinity screening, the phage recovered in the fourth round had an affinity of about 1000 times higher than that recovered in the first round (Fig. 1A). The 5th phage selection strain was randomly selected and tested for binding ability to c-Met by ELISA. The phage colony of No. 14 was found to have excellent binding activity to the c-Met-Fc protein ( A 490 >0.2). The control group phage (Con-P) was used as a negative control group. After identification, 16 strains were specifically bound to c-Met, but not to VEGFR2 and BSA-controlled histones (data not shown). All 16 colonies were sequenced and 3 unique anti-c-Met phage selectants (PC1, PC20, and PC21) were found. Please refer to Table 1 below.

VH及VL區之互補決定區1-3(CDR1-3),及架構區1-4(FW1-4)皆呈現於上表中。該V區的家族係藉由VBASE2資料庫(www.vbase2.org)以比對之(align)。Complementarity determining regions V H and V L regions of 1-3 (CDR1-3), and framework regions 1-4 (FW1-4) are presented in the table. The family of the V-zone is aligned by the VBASE2 database ( www.vbase2.org ).

為了分析該三個噬菌體選殖株之專一性及結合親和性,係以相同之噬菌體力價進行競爭型ELISA分析。相較於PC20或PC21,該PC1具有較強之c-Met結合親和性(圖1B)。再藉由會異位表現人類c-Met之293T細胞,以流式細胞儀及免疫螢光試驗,分析該三個選殖株結合至細胞表面之c-Met的情形。將噬菌體顆粒與會過量表現c-Met之293T細胞培養,接著分別藉由抗M13及抗myc抗體,以偵測噬菌體顆粒及外源性的c-Met。圖1中代表性的圖示,圖1D顯示抗c-Met噬菌體可與c-Met-myc共定位(colocalize),意旨他們皆可專一結合至會表現c-Met之細胞。該三個選殖株僅會結合至會過量表現c-Met之293T細胞,而不會結合至293T細胞(圖1C及D)。然而,相似地,相較於PC20及PC21,PC1對於細胞的c-Met之結合能力較高。接著探討抗c-Met scFvs之動力學常數,生產c-Met932-Fc重組蛋白以及可溶的抗c-Met scFvs,稱為S1、S20及S21,分別對應至PC1、PC20及PC21。可溶的c-Met932-Fc蛋白係自會異位表現c-Met932-Fc之293T細胞之培養基中,透過蛋白G凝膠管,純化以得(圖8)。可溶的抗c-Met scFvs係自被噬菌體感染的大腸桿菌HB2151之原生質周圍隙萃取物中,藉由蛋白L洋菜膠層析法純化而得,接著藉由蛋白質染色(coomassie blue staining)分析,以於靠近30 kDa位置(對應於蛋白重量指標),呈現出純化的抗c-Met scFv蛋白(S1、S20及S21)(圖8B上圖)。To analyze the specificity and binding affinity of the three phage selection strains, competitive ELISA analysis was performed at the same phage cost. This PC1 has a stronger c-Met binding affinity compared to PC20 or PC21 (Fig. 1B). The 293T cells expressing human c-Met were ectopically analyzed by flow cytometry and immunofluorescence assays to analyze the binding of the three selected strains to c-Met on the cell surface. Phage particles were cultured with 293T cells which overexpress c-Met, followed by anti-M13 and anti-myc antibodies, respectively, to detect phage particles and exogenous c-Met. In the representative representation of Figure 1, Figure 1D shows that anti-c-Met phage can be colocalized with c-Met-myc, meaning that they can all specifically bind to cells that will express c-Met. The three selected strains only bound to 293T cells that would overexpress c-Met without binding to 293T cells (Figures 1C and D). However, similarly, PC1 has a higher binding ability to c-Met of cells than PC20 and PC21. Next, the kinetic constants of anti-c-Met scFvs were investigated to produce c-Met 932- Fc recombinant protein and soluble anti-c-Met scFvs, referred to as S1, S20 and S21, corresponding to PC1, PC20 and PC21. The soluble c-Met 932- Fc protein was purified from the culture medium of 293T cells expressing ectopic c-Met 932- Fc by a protein G gel tube (Fig. 8). The soluble anti-c-Met scFvs were obtained from the protoplast-like gap extract of Escherichia coli HB2151 infected with phage, purified by protein L agaric chromatography, and then analyzed by protein staining (coomassie blue staining). To obtain a purified anti-c-Met scFv protein (S1, S20 and S21) near the 30 kDa position (corresponding to the protein weight index) (Fig. 8B upper panel).

結合動力學常數(K onK off)以及每一個對於c-Met932-Fc蛋白具親和性之可溶的scFv的親和力,係藉由表面電漿共振(SPR)以測量之。可結合至c-Met932-Fc的每個可溶的scFv的K d 值係介於6.82 to 14.9 nM。請參閱下表2。The binding kinetic constants ( K on and K off ) and the affinity of each of the soluble scFvs having affinity for the c-Met 932- Fc protein were measured by surface plasma resonance (SPR). It may bind to c-Met soluble scFv 932 -Fc each of K d values of lines between 6.82 to 14.9 nM. Please refer to Table 2 below.

Kon及Koff係藉由SRP,於BIAcore,使用純化的scFvs以測量之,以及該Kd係藉由BIAevaluation軟體以計算之。K on and K off were measured by SRP at BIAcore using purified scFvs, and the K d was calculated by BIAevaluation software.

實施例2Example 2

抗c-Met scFvs結合至人類癌細胞及VEGF刺激的內皮細胞Anti-c-Met scFvs bind to human cancer cells and VEGF-stimulated endothelial cells

抗c-Met scFvs結合至內源性c-Met之結合能力係於癌細胞,藉由ELISA分析之(圖9A)。相較於控制組抗體,吾人發現抗c-Met S1及S20可結合至多種人類癌細胞株,包含SKOV3、Mahlavu、SAS、PC3、MDA-MB-231、HCT116、Paca-2、NPC-TW04、H1993細胞。正常的小鼠IgG被用來做為控制組抗體。施行FACS分析以評估該兩個抗c-Met scFvs是否亦可結合至VEGF刺激的HUVECs。抗CD31抗體及控制組scFv分別被用來作為陽性對照組及陰性對照組(圖9B)。The binding ability of the anti-c-Met scFvs to endogenous c-Met was linked to cancer cells and analyzed by ELISA (Fig. 9A). Compared with the control group antibody, we found that anti-c-Met S1 and S20 can bind to a variety of human cancer cell lines, including SKOV3, Mahlavu, SAS, PC3, MDA-MB-231, HCT116, Paca-2, NPC-TW04, H1993 cells. Normal mouse IgG was used as a control group antibody. FACS analysis was performed to assess whether the two anti-c-Met scFvs could also bind to VEGF-stimulated HUVECs. The anti-CD31 antibody and the control group scFv were used as a positive control group and a negative control group, respectively (Fig. 9B).

為了進一步確認該抗c-Met scFv可專一結合至人類癌細胞上之內源性c-Met,遂將H460細胞及c-Met剔除的H460細胞,以抗c-Met scFv S1或S20進行染色,接著執行FACS分析(圖10B)。該兩個scFvs皆可結合至H460細胞,但其於c-Met剔除的H460細胞上之結合能力係明顯地下降。B-微管蛋白作為陰性對照組,以及於圖10A上之*bkg係指背景訊號。In order to further confirm that the anti-c-Met scFv can specifically bind to the endogenous c-Met on human cancer cells, H460 cells and c-Met knockout H460 cells were stained with anti-c-Met scFv S1 or S20, FACS analysis was then performed (Fig. 10B). Both scFvs were able to bind to H460 cells, but their binding capacity on c-Met knockout H460 cells was significantly reduced. B-tubulin was used as a negative control, and *bkg on Figure 10A was the background signal.

實施例3Example 3

藉由抗c-Met scFv以與HGF競爭結合至癌細胞Competing with HGF for binding to cancer cells by anti-c-Met scFv

為了測試該三個抗c-Met scFvs可否抑制HGF結合至c-Met,遂選擇人類肺癌細胞株H1993以進行競爭型ELISA(Lutterbach B et al.(2007) Cancer Res 67:2081-2088)。於同樣的條件下,控制組噬菌體(Con-P)不會影響結合能力。HGF結合至H1993細胞,若無競爭者,則視為100%。H1993細胞已知可表現高量的c-Met。當H1993細胞與HGF一同與噬菌體選殖株培養時,HGF結合至H1993細胞之結合能力,被抗c-Met scFv PC1減少超過90%以上。PC20則抑制超過50%之HGF結合至c-Met的結合能力(圖2A)。亦測試了不同濃度之可溶的scFvs對於HGF之競爭抑制情形。正常的小鼠IgG(NMIgG)被作為一陰性對照組。HGF結合至固化的c-Met蛋白,而無競爭者時,被視為100%。如圖2B所示,HGF結合至c-Met的結合活性,對於S1及S20而言,係為劑量依賴性的抑制效用;但對S21而言僅有輕微的抑制效用。S1及S20對於HGF結合至c-Met的IC50分別為27.4 nM及249.5 nM(圖2B)。To test whether the three anti-c-Met scFvs could inhibit HGF binding to c-Met, human lung cancer cell line H1993 was selected for competitive ELISA (Lutterbach B et al. (2007) Cancer Res 67:2081-2088). Under the same conditions, the control group phage (Con-P) did not affect the binding ability. HGF binds to H1993 cells and is considered 100% if there is no competitor. H1993 cells are known to exhibit high amounts of c-Met. When H1993 cells were cultured with HGF and phage-selected strains, the binding ability of HGF to H1993 cells was reduced by more than 90% by anti-c-Met scFv PC1. PC20 inhibited the binding capacity of more than 50% of HGF binding to c-Met (Fig. 2A). Competition inhibition of different concentrations of soluble scFvs for HGF was also tested. Normal mouse IgG (NM IgG) was used as a negative control group. HGF binds to the cured c-Met protein, and is considered 100% when there is no competitor. As shown in Figure 2B, the binding activity of HGF to c-Met was a dose-dependent inhibitory effect for S1 and S20; however, it had only a slight inhibitory effect on S21. And S1 to S20 for the binding of HGF to c-Met IC 50 were 27.4 nM and 249.5 nM (FIG. 2B).

因此,遂探討c-Met HGF結合區內的抗c-Met scFvs的結合抗原決定基。抗c-Met scFvs之結合能力係以c-Met932-Fc蛋白分析之,包含c-Met的全細胞外區、及含Sema及PSI區的c-Met567-Fc蛋白,該兩區已被定義為HGF結合區(圖2C)。將c-Met重組蛋白固化於微盤上,並將之與抗c-Met scFvs一起作用。抗c-Met多株抗體及抗E標記的抗體被分別用來做為陽性及陰性對照住。如圖2D所示,相較於c-Met932-Fc,S21明顯地降低其對於c-Met567-Fc之結合活性。而S1對於c-Met932-Fc之結合強度與對於c-Met567-Fc之結合強度相似。S20結合至c-Met567-Fc之效率係低於結合至c-Met932-Fc者。結果顯示,S1及S20之結合抗原決定基位於c-Met之HGF結合區,其中S21可透過類Ig區以辨識c-Met(圖2D)。Therefore, 遂 explores the binding epitope of anti-c-Met scFvs in the c-Met HGF binding region. The binding ability of the anti-c-Met scFvs was analyzed by c-Met 932- Fc protein, including the whole extracellular region of c-Met, and the c-Met 567- Fc protein containing Sema and PSI regions, which have been Defined as the HGF binding region (Figure 2C). The c-Met recombinant protein was immobilized on a microplate and allowed to act together with anti-c-Met scFvs. Anti-c-Met polyclonal antibodies and anti-E-labeled antibodies were used as positive and negative controls, respectively. As shown in Figure 2D, S21 significantly reduced its binding activity to c-Met 567- Fc compared to c-Met 932- Fc. The binding strength of S1 to c-Met 932- Fc is similar to that of c-Met 567- Fc. The efficiency of S20 binding to c-Met 567- Fc was lower than that of binding to c-Met 932- Fc. The results show that the binding epitopes of S1 and S20 are located in the HGF binding region of c-Met, wherein S21 can pass through the Ig-like region to recognize c-Met (Fig. 2D).

既然該抗c-Met scFv S1呈現較佳之競爭力,因此,分析S1是否可拮抗HGF以活化癌細胞之c-Met。將A549細胞與HGF及S1,於37℃一同處理15分鐘。將總細胞溶解物以抗磷酸化酪胺酸c-Met抗體,及一可抗c-Metβ-鏈(c-Met)之抗體,進行西方墨點法。磷酸化的c-Met係基於冷光強度以定量之,並以總c-Met標準化(normalized)。HGF誘發的c-Met磷酸化係被S1所抑制,相較於無S1處理者,經S1處理者可抑制65.7%之c-Met磷酸化(圖2E)。Since the anti-c-Met scFv S1 exhibited better competitiveness, it was analyzed whether S1 can antagonize HGF to activate c-Met of cancer cells. A549 cells were treated with HGF and S1 for 15 minutes at 37 °C. The total cell lysate was subjected to the Western blot method using an anti-phosphotyrosine c-Met antibody and an antibody against c-Metβ-chain (c-Met). Phosphorylated c-Met is quantified based on luminescence intensity and normalized with total c-Met. HGF-induced c-Met phosphorylation was inhibited by S1, and 65.7% of c-Met phosphorylation was inhibited by S1 treatment compared to those without S1 (Fig. 2E).

實施例4Example 4

使用共軛焦顯微鏡分析抗c-Met scFv之內化作用Analysis of internalization of anti-c-Met scFv using conjugated focal microscope

一抗體的內化能力對於研發抗體媒介之微脂體藥物係為重要的因素(Sapra and Allen(2002) Cancer Res 62:7190-7194)。抗c-Met scFv S1及S20之內化研究係於H1993細胞,於37℃進行。該等scFvs遂以抗E標記之抗體偵測,接著待細胞固定及孔洞化後,與FITC標記之二級抗體一起培養。細胞核則以DAPI染色。共軛焦顯微鏡顯示該scFvs可於4℃結合至細胞膜(圖3A,a及b),以及於細胞質內、37℃時,內化的scFv所發射的螢光訊號(圖3A,c及d)。於S20處理之H1993細胞之螢光訊號量係高於以S1處理之細胞,此意旨S20的內化能力係優於S1。於低倍率時,內化的S20可於多數之癌細胞被觀察到(圖3A,e)。The internalization ability of an antibody is an important factor for the development of antibody-mediated liposome drug lines (Sapra and Allen (2002) Cancer Res 62: 7190-7194). Internalization studies of anti-c-Met scFv S1 and S20 were performed on H1993 cells at 37 °C. The scFvs are detected by an anti-E-labeled antibody, and then cultured with FITC-labeled secondary antibody after cell fixation and pore formation. The nucleus was stained with DAPI. Conjugate focal microscopy showed that the scFvs bind to the cell membrane at 4 °C (Fig. 3A, a and b), and the fluorescent signal emitted by the internalized scFv in the cytoplasm at 37 °C (Fig. 3A, c and d) . The amount of fluorescent signal of H1993 cells treated with S20 was higher than that of cells treated with S1, which means that the internalization ability of S20 is superior to S1. At low magnification, internalized S20 was observed in most cancer cells (Fig. 3A, e).

再者,為了驗證是否S20之吸收係取決於細胞表面上所表現之c-Met,因此以H460細胞及c-Met剔除的H460細胞進行內化作用之實驗。共軛焦顯微鏡顯示,於H460細胞之細胞質內有S20螢光訊號(圖3B,a及b),但於c-Met剔除的H460細胞則沒有螢光訊號(圖3B,c)。該等結果指出,抗c-Met scFv S20展現了對於會表現c-Met之癌細胞具有專一的內化作用。也因如此,其可被用以抗體媒介之細胞內藥物遞送方式的發展。Furthermore, in order to verify whether the absorption of S20 is dependent on the c-Met expressed on the cell surface, an experiment of internalization by H460 cells and c-Met-removed H460 cells was performed. Confocal focal microscopy showed S20 fluorescence signals in the cytoplasm of H460 cells (Fig. 3B, a and b), but there was no fluorescent signal on c-Met knockout H460 cells (Fig. 3B, c). These results indicate that anti-c-Met scFv S20 exhibits a specific internalization effect on cancer cells that will exhibit c-Met. As such, it can be used in the development of intracellular drug delivery methods for antibody vectors.

實施例5Example 5

Ms20結合的奈米粒子增強藥物結合、細胞內的遞送及細胞毒性Ms20-bound nanoparticle enhances drug binding, intracellular delivery, and cytotoxicity

為了探討S20是否可於會表現c-Met癌細胞,促進微脂體藥物遞送,遂構築一編碼S20基因與半胱胺酸於C端融合的細菌表現載體,接著表現表現該S20-半胱胺酸融合蛋白,於此稱為Ms20(圖11A及B)。Ms20之點結合(Site-directed conjugation)係透過C端之半胱胺酸,以結合至含有阿黴素的微脂體外表面上的經馬來亞醯胺修飾的PEG鏈,以生成Ms20-結合的微脂體阿黴素(Ms20-LD)(圖11C及D)。In order to investigate whether S20 can express c-Met cancer cells and promote liposome drug delivery, a bacterial expression vector encoding S20 gene and cysteine at the C-terminus is constructed, and then the S20-cysteamine is expressed. The acid fusion protein, referred to herein as Ms20 (Figures 11A and B). The site-directed conjugation of Ms20 is transmitted through the C-terminal cysteine to bind to the maleimide-modified PEG chain on the outer surface of the microlipid containing doxorubicin to form Ms20-binding. The liposomal doxorubicin (Ms20-LD) (Figures 11C and D).

為了確認清楚Ms20結合的微脂體使否會增加藥物遞送至癌細胞,遂將許多之人類肺癌細胞株,以Ms20-LD及LD,於37℃處理之。將以酸性的甘胺酸緩衝液沖洗後,其可移除結合於表面的微脂體藥物,即可定量被內化的阿黴素。以Ms20-LD處理後,阿黴素的細胞吸收情況,於H1993,H441及A549細胞被提高了,但於H520及CL1-5細胞則無任何顯著地變化(圖4A)。為了進一步驗證Ms20-LD之吸收是否取決於細胞的c-Met表現,使用Ms20標記的量子點(Ms20-QD)(圖4B)於流式細胞儀進行於各細胞的相對c-Met表現情形。有趣的是,H520及CL1-5被發現僅表現十分少量之c-Met(圖4B),其對應至該等細胞對於Ms20-LD之吸收能力亦較差(圖4A)。此意旨Ms20-LD被癌細胞吸收係取決於細胞表面上c-Met之表現程度。In order to confirm whether Ms20-bound microlipids would increase drug delivery to cancer cells, many human lung cancer cell lines were treated with Ms20-LD and LD at 37 °C. After being washed with an acidic glycine buffer, it can remove the liposome drug bound to the surface, ie, the internalized doxorubicin can be quantified. After treatment with Ms20-LD, the cellular uptake of doxorubicin was increased in H1993, H441 and A549 cells, but not in H520 and CL1-5 cells (Fig. 4A). To further verify whether the absorption of Ms20-LD is dependent on the c-Met performance of the cells, the relative c-Met performance of each cell was performed on a flow cytometer using Ms20-labeled quantum dots (Ms20-QD) (Fig. 4B). Interestingly, H520 and CL1-5 were found to exhibit only a very small amount of c-Met (Fig. 4B), which corresponds to the poor absorption capacity of these cells for Ms20-LD (Fig. 4A). This means that the absorption of Ms20-LD by cancer cells depends on the degree of expression of c-Met on the cell surface.

為了驗證Ms20的確有能力增進LD於癌細胞之結合效率,遂將H1993細胞與不同濃度之Ms20-LD及非標的的LD(LD)於4℃培養1小時。待溶解細胞後,藉由螢光以定量微脂體藥物之結合活性。相較於LD,Ms20-LD結合至H1993細胞之能力顯著地上升13至26倍,取決於所用之濃度(圖4C)。於相同條件下,於H460細胞亦可觀察到相似的結果。為了確認Ms20可增強細胞內的藥物遞送能力以遞送給癌細胞,將H1993細胞與Ms20-LD及LD一起培養一段時間。經除去表面未內化的微脂體藥物後,遂測量被內化吸收的阿黴素。相較於未於LD結合者,於每個時間點,Ms20明顯地增強了藥物遞送至癌細胞的能力(圖4D)。To verify that Ms20 does have the ability to increase the binding efficiency of LD to cancer cells, H1993 cells were incubated with different concentrations of Ms20-LD and non-standard LD (LD) for 1 hour at 4 °C. After the cells are to be lysed, the binding activity of the liposome drug is quantified by fluorescence. The ability of Ms20-LD to bind to H1993 cells increased significantly by 13 to 26 fold compared to LD, depending on the concentration used (Fig. 4C). Similar results were observed in H460 cells under the same conditions. To confirm that Ms20 can enhance intracellular drug delivery capacity for delivery to cancer cells, H1993 cells were incubated with Ms20-LD and LD for a period of time. After removing the liposome drug whose surface was not internalized, the cockroach was measured for the doxorubicin absorbed by internalization. At each time point, Ms20 significantly enhanced the ability of the drug to be delivered to cancer cells compared to those not in the LD (Figure 4D).

為了進一步評估是否Ms20可否增強LD之細胞毒性,遂於人類肺癌細胞,以MTT分析法研究Ms20-LD之細胞毒性效用(圖5A)。細胞存活率係以活細胞的百分比來計算之。紅虛線係指平均50%存活率。每一個點代表四次實驗的平均值。相較於LD,Ms20-LD明顯地增強對於癌細胞之細胞毒性,並於H1993及H441細胞,降低了半數最大抑制濃度(IC 50 )約6倍(圖5B)。該等細胞凋亡指標的表現,諸如切割PARP、切割胱冬肽酶9及切割胱冬肽酶3,皆於Ms20-LD處理後之H1993細胞中被增強了(圖5C)。α-微管蛋白係做為裝載對照(loading control)。相較於未處理組之細胞,係以密度計量法估算切割PARP增強的倍數,且以α-微管蛋白標準化(normalized)(下圖)。To further assess whether Ms20 can enhance the cytotoxicity of LD, the cytotoxic effects of Ms20-LD were studied by MTT assay in human lung cancer cells (Fig. 5A). Cell viability is calculated as a percentage of viable cells. The red dotted line refers to an average 50% survival rate. Each point represents the average of four experiments. Compared to the LD, Ms20-LD significantly enhance the cytotoxicity of cancer cells, and in H1993 and H441 cells, reducing the half maximal inhibitory concentration (IC 50) about 6-fold (Figure 5B). The expression of these apoptosis indicators, such as cleavage of PARP, cleavage of caspase 9 and cleavage of caspase 3, were all enhanced in H1993 cells treated with Ms20-LD (Fig. 5C). The α-tubulin is used as a loading control. The folds of the cut PARP were estimated by densitometry compared to cells in the untreated group and normalized with alpha-tubulin (bottom panel).

實施例6Example 6

活體內腫瘤導向(In vivo tumor targeting In vivo In vivo tumor homing)以及抗c-Met scFv之影像Tumor homing) and images of anti-c-Met scFv

為了探討活體內抗c-Met scFv之腫瘤導向能力,將含有H460衍生的肺腫瘤異體移植物之老鼠,靜脈注射抗c-Met scFv PC20或控制組噬菌體。源自腫瘤之PC20力價係高於源自器官內臟者。該試驗施行兩次,且皆得到相同的結果。經灌注後,回收結合的噬菌體,並判定源自腫瘤部分的力價及正常器官的力價。結果顯示抗c-Met scFv PC20導向至腫瘤之能力,係高於導向正常器官者(圖6A)。控制組噬菌體則無此種導向能力。此外,抗c-Met scFv PC20之組織分佈,係以抗噬菌體抗體將組織切片進行免液染色以分析之。PC20噬菌體被發現可選擇性的分佈於腫瘤組織,而不是正常器官組織,像是腦、肺、及心臟,該等器官係取自PC20處理過的老鼠,此外,於腫瘤及正常器官組織中則無偵測到控制組噬菌體(圖6B)。To investigate the tumor-directing ability of anti-c-Met scFv in vivo, mice containing H460-derived lung tumor xenografts were injected intravenously with anti-c-Met scFv PC20 or control group phage. The tumor-derived PC20 is more expensive than the organ-derived viscera. The test was performed twice and all gave the same results. After perfusion, the bound phage was recovered and the price of the force derived from the tumor portion and the strength of the normal organ were determined. The results showed that the ability of anti-c-Met scFv PC20 to direct to the tumor was higher than that directed to normal organs (Fig. 6A). The control group phage has no such guiding ability. In addition, the tissue distribution of anti-c-Met scFv PC20 was analyzed by liquid-free staining of tissue sections with anti-phage antibodies. PC20 phage were found to be selectively distributed in tumor tissues, rather than normal organ tissues, such as brain, lung, and heart. These organs were obtained from PC20-treated mice, and in tumors and normal organ tissues. No control group phage was detected (Fig. 6B).

為了測試抗c-Met scFv S20是否可應用於腫瘤影像分析,係將Ms20結合的量子點(Ms20-QD)或非結合的量子點(QD)注入含有H1993衍生的肺腫瘤異種移植物的老鼠中。於注射後6小時,觀察近紅外光(NIR)螢光訊號強度,於Ms20-QD處理的老鼠的癌組織之訊號強度係高於QD處理老鼠組5.2倍(圖6C)。注射後24小時,犧牲該老鼠,並解剖以分析Ms20-QD的組織分佈。該代表圖係為三次獨立試驗的結果。如圖6D所示,相對於正常器官,Ms20-QD可有效地及可選擇專一地累積於腫瘤中。Ms20-QD導向腫瘤之能力係高於QD 5.4倍。該等結果顯示抗c-Met scFv可用於腫瘤之成像。To test whether anti-c-Met scFv S20 can be applied to tumor imaging analysis, Ms20-bound quantum dots (Ms20-QD) or unbound quantum dots (QD) were injected into mice containing H1993-derived lung tumor xenografts. . The intensity of the near-infrared light (NIR) fluorescence signal was observed 6 hours after the injection, and the signal intensity of the cancer tissue of the Ms20-QD-treated mouse was 5.2 times higher than that of the QD-treated mouse group (Fig. 6C). Twenty four hours after the injection, the mice were sacrificed and dissected to analyze the tissue distribution of Ms20-QD. This representative image is the result of three independent experiments. As shown in Figure 6D, Ms20-QD can be efficiently and selectively accumulated in tumors relative to normal organs. The ability of Ms20-QD to direct tumors was 5.4 times higher than QD. These results show that anti-c-Met scFv can be used for imaging of tumors.

實施例7Example 7

Ms20-LD於人類肺癌異種移植物之治療效用Therapeutic effect of Ms20-LD on human lung cancer xenografts

為了探討Ms20是否可改進抗癌藥物之化療效用,係藉由將Ms20與聚乙烯二醇化微脂體阿黴素(Ms20-LD)結合,以配製一標靶藥物遞送系統。將含有H460異種移植物(~75 mm3)之SCID老鼠,以總阿黴素為4 mg/kg(每週一次,1mg/kg)之劑量,靜脈注射該微脂體藥物。將含有H460衍生肺癌之老鼠投予Ms20-LD、LD、及PBS。於LD組及PBS控制組之老鼠腫瘤大小係分別大於Ms20-LD組1.9及4.4倍(n=8)**,P<0.01。圖中的點代表平均腫瘤體積。吾人發現投予Ms20-LD之老鼠的腫瘤體積係小於單獨投予LD者(P<0.01)(圖7A)。於第25天,LD組的腫瘤大小逐漸大於Ms20-LD組1.9倍。於治療期間,該Ms20-LD及LD組之體重無明顯變化(圖7B)。於治療結束時,以Ms20-LD治療之老鼠體內的最終腫瘤平均重量為0.31g,相較於以LD治療組為0.73g;注射PBS緩衝液組為1.8g(圖7C及D)。因此,Ms20-LD組之腫瘤重量係低於LD組(n=8)*,P<0.05。此外,各組之腫瘤組織係以抗CD31抗體分析,以偵測腫瘤血管,並以TUNEL分析法以辨識出凋亡的細胞。切片則以自動細胞收集器(automated cell acquisition)(TissueGnostics)分析,並將CD31陽性區域,及TUNEL陽性區域以MetaMorph軟體定量之(Molecular Devices)。如圖7E所示,相較於LD處理組,於Ms20-LD處理組之CD31陽性區域係大幅度地減少。因此,於Ms20-LD組的CD31陽性內皮細胞量係低於LD組。於Ms20-LD處理組之細胞凋亡數目係高於LD處理組兩倍(圖7F)。To explore whether Ms20 can improve the efficacy of anticancer drugs, a target drug delivery system was formulated by combining Ms20 with polyethylene glycolated microlipid doxorubicin (Ms20-LD). SCID mice containing H460 xenografts (~75 mm 3 ) were injected intravenously with a total doxorubicin dose of 4 mg/kg (once a week, 1 mg/kg). Mice containing H460-derived lung cancer were administered Ms20-LD, LD, and PBS. The tumor size of the mice in the LD group and the PBS control group were 1.9 and 4.4 times (n=8)**, respectively, compared with the Ms20-LD group, P <0.01. The points in the graph represent the mean tumor volume. We found that the tumor volume of mice administered Ms20-LD was less than that of LD alone ( P < 0.01) (Fig. 7A). On day 25, the tumor size of the LD group was gradually greater than that of the Ms20-LD group by 1.9 times. There was no significant change in body weight of the Ms20-LD and LD groups during treatment (Fig. 7B). At the end of treatment, the average tumor weight of the mice treated with Ms20-LD was 0.31 g, which was 0.73 g compared to the LD-treated group; 1.8 g was injected into the PBS buffer group (Fig. 7C and D). Therefore, the tumor weight of the Ms20-LD group was lower than that of the LD group (n=8)*, P < 0.05. In addition, tumor tissues of each group were analyzed with anti-CD31 antibody to detect tumor blood vessels, and TUNEL analysis was used to identify apoptotic cells. Sections were analyzed by automated cell acquisition (Tissue Gnostics) and CD31 positive areas, and TUNEL positive areas were quantified by MetaMorph software (Molecular Devices). As shown in Fig. 7E, the CD31-positive region in the Ms20-LD treatment group was drastically reduced compared to the LD-treated group. Therefore, the amount of CD31-positive endothelial cells in the Ms20-LD group was lower than that in the LD group. The number of apoptosis in the Ms20-LD treated group was twice as high as in the LD treated group (Fig. 7F).

<110> 中央研究院<110> Academia Sinica

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圖1 篩選及鑑別出可結合至c-Met蛋白之可表現表現scFv之噬菌體。A.為使用可表現表現人類原態scFv之噬菌體庫以篩選出可結合至c-Met-Fc蛋白之噬菌體(生物淘選(biopanning))。B.將篩選出會結合至c-Met-Fc蛋白之噬菌體選殖株,以兩種不同ELISA力價進行比較。C.為比較不同噬菌體選殖株對於細胞的c-Met結合親和力,係於c-Met過量表現之293T細胞上,以流式細胞儀進行評估。D.藉由免疫螢光染色以決定噬菌體選殖株之結合專一性。尺規(Scale bar):50μm。 Figure 1 Screening and identification of phage that can express scFv that bind to the c-Met protein. A. To use a phage library that can express human native scFv to screen for phage (biopanning) that binds to the c-Met-Fc protein. B. Phage selection strains that bind to the c-Met-Fc protein will be screened and compared at two different ELISA rates. C. To compare the c-Met binding affinities of different phage selectants to cells, 293T cells overexpressed in c-Met were evaluated by flow cytometry. D. Determine the binding specificity of phage selectants by immunofluorescence staining. Scale bar: 50 μm.

圖2 以抗c-Met scFv與HGF進行c-Met結合之競爭試驗。A.藉由ELISA分析,以噬菌體表現表現之抗c-Met scFv PC1、PC20及PC21被用以抑制HGF,使其無法結合至會表現c-Met之H1993細胞上。B.藉由競爭型ELISA分析,抗c-Met scFv S1、S20及S21對於HGF結合至c-Met蛋白的抑制能力之劑量依存關係(dose-dependent inhibition)。C.為人類c-Met蛋白區域之示意圖。該人類IgG1之Fc區域係與c-Met932及c-Met567之羧端融合。D.藉由使用ELISA,以鑑別出抗c-MetscFvs之抗原決定基。E為測定抗c-Met scFv與HGF,於癌細胞之拮抗效果。 Figure 2 is a competition test for c-Met binding with anti-c-Met scFv and HGF. A. By ELISA analysis, anti-c-Met scFv PC1, PC20 and PC21 expressed in phage expression were used to inhibit HGF, making it unable to bind to H1993 cells which would express c-Met. B. Dose-dependent inhibition of the ability of anti-c-Met scFv S1, S20 and S21 to bind HGF to c-Met protein by competitive ELISA assay. C. is a schematic representation of the human c-Met protein region. The Fc region of human IgG1 is fused to the carboxy terminus of c-Met 932 and c-Met 567 . D. Identification of anti-c-MetscFvs epitopes by using ELISA. E is an antagonistic effect on anti-c-Met scFv and HGF in cancer cells.

圖3 以共軛焦顯微鏡分析抗c-Met scFv之內化作用。A.將H1993細胞分別與抗-c-Met scFv S1及S20,於4℃(ab)進行培養30分鐘、或於37℃(cd)進行培養30分鐘。於低放大倍率下可觀察到多數細胞將S20內化(e)。箭頭指示細胞中胞飲的scFv。B.細胞將S20內化係透過c-Met所媒介之胞飲作用。將野生型c-Met(a)及c-Met剔除之H460細胞(MET-KD)(c)分別與S20一起於37℃培養30分鐘。高放大倍率視野中顯示大量之S20被內化至細胞內(b)。 Figure 3 Analysis of internalization of anti-c-Met scFv by conjugated focus microscopy. A. H1993 cells were cultured with anti-c-Met scFv S1 and S20 at 4 ° C ( a and b ) for 30 minutes or at 37 ° C ( c and d ) for 30 minutes. At low magnification, most cells were observed to internalize S20 (e). The arrow indicates the boF scFv in the cells. B. Cells The S20 internalization system is transfected by c-Met. Wild-type c-Met (a) and c-Met knockout H460 cells (MET-KD) (c) were separately incubated with S20 at 37 ° C for 30 minutes. A high magnification field of view shows that a large amount of S20 is internalized into the cell (b).

圖4 Ms20增強微脂體阿黴素(Doxorubicin)對於人類肺癌細胞株之結合及內化能力。A.於肺癌細胞株之Ms20-LD及LD的內化作用研究,將該兩者分別與藥物於37℃培養4小時。B.使用Ms20-QD以流式細胞儀分析癌細胞表面之c-Met表現量。C. H1993結合至微脂體藥物分析。D.微脂體藥物之吸收動力學。E.經於37℃培養如圖示所指之時間後,係以共軛焦顯微鏡觀察,Ms20-LD及LD被H1993細胞吸收的情形。與Ms20-LD培養2小時,阿黴素分佈至細胞質及核質。與Ms20-LD培養8小時後,阿黴素明顯地主要累積於細胞核中。阿黴素很難於該等處理過LD之細胞中被偵測到。下圖顯示阿黴素訊號(紅色)與細胞膜(綠色,偽色),以及細胞核(藍色)染色之合併之影像。尺規為50μm。 Figure 4 Ms20 enhances the binding and internalization of the liposomal doxorubicin to human lung cancer cell lines. A. Internalization studies of Ms20-LD and LD in lung cancer cell lines, and the two were cultured at 37 ° C for 4 hours. B. Analysis of c-Met performance on the surface of cancer cells by flow cytometry using Ms20-QD. C. H1993 binds to liposome drug analysis. D. Absorption kinetics of the liposome drug. E. After incubation at 37 ° C for the time indicated by the illustration, Ms20-LD and LD were taken up by H1993 cells as observed under a conjugate focal microscope. After incubation with Ms20-LD for 2 hours, doxorubicin was distributed to the cytoplasm and nucleoplasm. After 8 hours of incubation with Ms20-LD, doxorubicin was apparently mainly accumulated in the nucleus. Doxorubicin is difficult to detect in such cells treated with LD. The figure below shows an image of the combination of the doxorubicin signal ( red ) with the cell membrane ( green, pseudo-color ) and the nucleus ( blue ) staining. The ruler is 50 μm.

圖5 Ms20調控微脂體以增強阿黴素誘導之細胞毒殺效果。A.以不同濃度之Ms20-LD及LD處理人類肺癌細胞株之體外(in vitro)細胞毒性試驗。B.計算IC50比例係用以說明Ms20-LD之增強的細胞毒性能力,且高於LD的。C.將H1993細胞以2.5 μg/ml之Ms20-LD及LD,分別經過0、24、48及72小時處理後,以西方墨漬分析。 Figure 5 Ms20 regulates liposomes to enhance doxorubicin-induced cell toxicity. A. In vitro cytotoxicity assay of human lung cancer cell lines treated with different concentrations of Ms20-LD and LD. B. IC 50 was calculated scale factor for explaining the Ms20-LD enhanced cytotoxic potential and higher than the LD. C. H1993 cells were treated with Ms20-LD and LD at 2.5 μg/ml for 0, 24, 48 and 72 hours, respectively, and analyzed by Western blotting.

圖6 於人類肺癌異種移植中辨別抗c-Met scFv之腫瘤導向能力。A.將帶有人類肺癌H460異種移植物之SCID老鼠,分別以靜脈注射方式注射PC20及對照組之噬菌體(Con-P)。B.於導向試驗中,藉由免疫組織化學染色分析PC20之位置。C.帶有H1993人類肺腫瘤之SCID老鼠,經靜脈注射400 pmole之Ms20-QD(量子點)(右)或QD(左)後的體內(in vivo)影像。該NIR螢光影像係於注射後6小時所攝得(上圖)。紅圈指出腫瘤之位置。腫瘤區域之訊號強度係藉由IVIS軟體(下圖)量化。D. Ms20-QD及QD之組織分佈,係於注射後24小時判定。該老鼠經犧牲後以摘取器官進行NIR影像之拍攝(上圖)。腫瘤及器官之訊號強度係藉由IVIS軟體測量(下圖)。 Figure 6 shows the ability of tumor targeting to anti-c-Met scFv in human lung cancer xenografts. A. SCID mice bearing human lung cancer H460 xenografts were injected intravenously with PC20 and control phage (Con-P). B. In the orientation test, the location of PC20 was analyzed by immunohistochemical staining. C. SCID mice bearing H1993 human lung tumors, in vivo ( in vivo ) images after intravenous injection of 400 pmole of Ms20-QD (quantum dot) (right) or QD (left). The NIR fluorescence image was taken 6 hours after the injection (top panel). The red circle indicates the location of the tumor. The signal intensity of the tumor area is quantified by IVIS software (below). D. The tissue distribution of Ms20-QD and QD was determined 24 hours after injection. The mouse was sacrificed and the organ was taken for NIR imaging (above). The signal intensity of tumors and organs is measured by IVIS software (below).

圖7 Ms20-LD於人類肺癌異種移植物之療效。A.將帶有H460衍生之肺癌老鼠,投予Ms20-LD、LD、或PBS,分析其之腫瘤體積。B.各組之體重。C.於治療結束時腫瘤之重量。D.為C圖所述之分析的代表圖。E.探討腫瘤組織之腫瘤血管。F.以TUNEL試驗分析腫瘤區域之細胞凋亡細胞。誤差槓(Error bar),SE.*,P<0.05。 Figure 7 Effect of Ms20-LD on human lung cancer xenografts. A. L460-derived lung cancer mice were administered Ms20-LD, LD, or PBS, and their tumor volumes were analyzed. B. Body weight of each group. C. The weight of the tumor at the end of treatment. D. A representative map of the analysis described in Figure C. E. Explore the tumor blood vessels of tumor tissue. F. Analysis of apoptotic cells in the tumor area by the TUNEL assay. Error bar, SE.*, P <0.05.

圖8 可溶性c-Met 932 -Fc蛋白及抗c-Met scFv之純化。A.蛋白質染色法(Comassie blue staining)(左圖),及以抗c-Met多株抗體進行之西方墨漬分析法(右圖)。第1道為總細胞培養基,第2道為經蛋白G管柱流通過者,第3道為純化之可溶的c-Met932-Fc蛋白。B.可溶的抗c-Met scFvs係從被噬菌體感染之E-coli HB2151的原生質周圍隙萃取物中所純化而得。西方墨漬分析顯示該可溶的scFvs可被抗E標定之抗體所識別(下圖)。 Figure 8. Purification of soluble c-Met 932- Fc protein and anti-c-Met scFv. A. Comassie blue staining (left panel), and Western blot analysis using the anti-c-Met polyclonal antibody (right panel). The first lane is the total cell culture medium, the second lane is the passage through the protein G column column, and the third lane is the purified soluble c-Met 932- Fc protein. B. Soluble anti-c-Met scFvs were purified from the protoplast surrounding extract of phage infected E-coli HB2151. Western blot analysis showed that the soluble scFvs were recognized by anti-E-labeled antibodies (bottom panel).

圖9 抗c-Met scFvs與不同之人類癌細胞株及血管內皮細胞(HUVECs)結合能力之探討。A.抗c-Met scFv S1或S2對抗不同人類癌細胞株之ELISA結果。B.以流式細胞儀分析抗c-Met scFvs結合至HUVECs的能力。 Figure 9. Discussion on the binding ability of anti-c-Met scFvs to different human cancer cell lines and vascular endothelial cells (HUVECs). A. Anti-c-Met scFv S1 or S2 against ELISA results for different human cancer cell lines. B. The ability of anti-c-Met scFvs to bind to HUVECs was analyzed by flow cytometry.

圖10 抗c-Met scFvs特定地結合至人類肺癌細胞內生性的c-Met。A.西方墨漬分析顯示,經以會表現c-Met shRNA之慢病毒(Lentivirus)感染後,於H460細胞(MET-KD H460細胞)之c-Met是向下調控的。B.FACS分析抗c-Met scFvs結合至c-Met野生型及c-Met剔除之H460細胞的情形。 Figure 10 Anti-c-Met scFvs specifically bind to endogenous c-Met in human lung cancer cells. A. Western blot analysis showed that c-Met in H460 cells (MET-KD H460 cells) was down-regulated after Lentivirus infection with c-Met shRNA. B. FACS analysis of the case where anti-c-Met scFvs bind to c-Met wild type and c-Met knocked out H460 cells.

圖11 合成Ms20結合之微脂體阿黴素(Ms20-LD)。A.構築原核載體pFHC-S20以表現該含有Flag標籤、6個組胺酸(6xHis)、及於羧端之半胱胺酸殘基之scFv蛋白(Ms20)的示意圖。B.以Ni+ NTA凝膠(sepharose)及蛋白A洋菜膠層析法純化的Ms20進行SDS-PAGE分析及蛋白質染色。PPE係指原生質周圍隙萃取物;FL係指經流通過者。C.為一示意模式圖,顯示還原的Ms20與馬來醯亞胺-PEG-DSPE結合之LD的結合過程。D.經以凝膠4B進行凝膠過濾(gel filtration)純化後之Ms20結合的LD,係以SDS-PAG分析及硝酸銀染色。第3-8道為經與馬來醯亞胺-PEG-DSPE結合後之Ms20(上面的條帶)。 Figure 11 Synthesis of Ms20-bound microlipid doxorubicin (Ms20-LD). A. The prokaryotic vector pFHC-S20 was constructed to express a schematic diagram of the scFv protein (Ms20) containing a Flag tag, six histidine acids (6xHis), and a cysteine residue at the carboxy terminus. B. Ms20 purified by Ni + NTA gel (sepharose) and protein A agaric chromatography was subjected to SDS-PAGE analysis and protein staining. PPE refers to the protoplast surrounding extract; FL refers to the passage of the flow. C. is a schematic pattern showing the binding process of reduced Ms20 to LD bound to maleimine-PEG-DSPE. D. Ms20-bound LD purified by gel filtration with gel 4B by SDS-PAG analysis and silver nitrate staining. Lanes 3-8 are Ms20 (upper band) after binding to maleimine-PEG-DSPE.

圖12 以MS20-QD藉由FACS分析以識別於人類肺癌細胞株c-Met表現情形。A.將人類肺癌細胞株與10 μM Ms20-QD及QD於4℃培養1小時。FACS分析係用以評估結合能力。B.將H1993細胞與50 nM Ms20-QD於37℃培養30分鐘。遂以共軛焦顯微鏡分析Ms20-QD與H1993細胞結合及吸收之情形。尺規50 μm。 Figure 12 shows the expression of c-Met in human lung cancer cell lines by FACS analysis with MS20-QD. A. Human lung cancer cell lines were incubated with 10 μM Ms20-QD and QD for 1 hour at 4 °C. FACS analysis is used to assess binding capacity. B. H1993 cells were incubated with 50 nM Ms20-QD for 30 minutes at 37 °C.遂 The conjugated focal microscope was used to analyze the binding and absorption of Ms20-QD and H1993 cells. Ruler 50 μm.

Claims (11)

一種單離的抗體或其抗原結合片段,其包含重鏈可變區(VH),該重鏈可變區包含互補決定區(CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS:14、16及25之胺基酸序列,以及輕鏈可變區(VL),該輕鏈可變區包含互補CDR1、CDR2、及CDR3序列,其分別包含SEQ ID NOS:35、37及46之胺基酸序列。 An isolated antibody or antigen-binding fragment thereof comprising a heavy chain variable region ( VH ) comprising a complementarity determining region (CDR1, CDR2, and CDR3 sequences comprising SEQ ID NOS: 14 , 16 and 25 of the amino acid sequence, and a light chain variable region (V L), which is complementary to the light chain variable region comprising CDR1, CDR2, and CDR3 sequences, respectively, comprising SEQ ID NOS: 35,37 and 46 of Amino acid sequence. 如申請專利範圍第1項之單離的抗體或其抗原結合片段,係為單鏈的Fv(scFv)、IgG、Fab、(Fab’)2、或(scFv’)2An isolated antibody or antigen-binding fragment thereof according to claim 1 is a single-chain Fv (scFv), IgG, Fab, (Fab') 2 , or (scFv') 2 . 如申請專利範圍第1或2項之單離的抗體或其抗原結合片段,係與抗癌藥劑或標籤結合。 An isolated antibody or antigen-binding fragment thereof, as claimed in claim 1 or 2, binds to an anti-cancer agent or a tag. 一種脂質奈米微粒,包含一表面及一內部空間,該內部空間包含抗癌藥劑,其中如申請專利範圍第1或2項所述之單離的抗體或其抗原結合片段,係貼附於該脂質奈米微粒的表面。 A lipid nanoparticle comprising a surface and an internal space, the internal space comprising an anticancer agent, wherein the isolated antibody or antigen-binding fragment thereof according to claim 1 or 2 is attached thereto The surface of the lipid nanoparticle. 如申請專利範圍第4項之脂質奈米微粒,其中當該脂質奈米微粒與會表現細胞表面c-Met之細胞接觸時,該抗體會結合至細胞表面c-Met,且該脂質奈米微粒會被胞飲。 The lipid nanoparticle according to claim 4, wherein when the lipid nanoparticle is contacted with a cell which exhibits cell surface c-Met, the antibody binds to the cell surface c-Met, and the lipid nanoparticle Being sucked. 一種組合物,包含:醫藥上可接受載劑,以及如申請專利範圍第1或2項所述之單離的抗體,或如申請專利範圍第4或5項之脂質奈米微粒。 A composition comprising: a pharmaceutically acceptable carrier, and an isolated antibody as described in claim 1 or 2, or a lipid nanoparticle as in claim 4 or 5. 如申請專利範圍第6項之組合物,其中該組合物係調製為非口服方式投予。 The composition of claim 6, wherein the composition is formulated to be administered parenterally. 如申請專利範圍第6或7項之組合物,可用於癌症治療、診斷、藥物遞送及影像化。 The composition of claim 6 or 7 can be used for cancer treatment, diagnosis, drug delivery, and visualization. 一種治療具有癌症之病患之醫藥組合物,包含:以如申請專利範圍第1或2項所述之抗體,或如申請專利範圍第4或5項所述之脂質奈米微粒,其中該量係足以減緩癌症之 生長。 A pharmaceutical composition for treating a patient having cancer, comprising: the antibody according to claim 1 or 2, or the lipid nanoparticle according to claim 4 or 5, wherein the amount Is enough to slow down cancer Growing. 如申請專利範圍第9項之醫藥組合物,其中該癌症為肺癌。 The pharmaceutical composition of claim 9, wherein the cancer is lung cancer. 一種單離的核酸,其包含編碼胺基酸序列之核苷酸序列,該胺基酸係選自以下所組成之群組:(i)重鏈可變區(VH),該重鏈可變區包含CDR1、CDR2、及CDR3序列,該等序列分別包含SEQ ID NOS:14、16及25之胺基酸序列;及(ii)輕鏈可變區(VL),該輕鏈可變區包含互補CDR1、CDR2、及CDR3序列,該等序列分別包含SEQ ID NOS:35、37及46之胺基酸序列。 An isolated nucleic acid comprising a nucleotide sequence encoding an amino acid sequence selected from the group consisting of: (i) a heavy chain variable region ( VH ), the heavy chain variable region comprises CDR1, CDR2, and CDR3 sequences, such sequences comprising SEQ ID NOS: 14, 16 and 25 of the amino acid sequence; and (ii) a light chain variable region (V L), the light chain variable The region comprises complementary CDR1, CDR2, and CDR3 sequences comprising the amino acid sequences of SEQ ID NOS: 35, 37 and 46, respectively.
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